{"npi":"1346229697","type":"NPI-2","status":"active","name":{"display":"Ssm Healthcare Of Wi INC","other":[],"organization_name":"SSM HEALTHCARE OF WI INC","authorised_official":"Troy Walker"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"WI","license":"52D0939990"}]},"addresses":[{"purpose":"LOCATION","street_1":"707 14TH ST","city":"BARABOO","state":"WI","postal_code":"539131539","country_code":"US","phone":"6083561400"},{"purpose":"MAILING","street_1":"707 14TH ST","city":"BARABOO","state":"WI","postal_code":"539131539","country_code":"US","phone":"6083561400"}],"license":{"state":"WI","number":"52D0939990"},"identifiers":[{"type_code":"01","label":"Other","value":"391023846028","state":"WI","issuer":"BLUE CROSS PROV #"},{"type_code":"05","label":"Medicaid","value":"32943300","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"391023846","state":"WI","issuer":"COMMERCIAL INS PROV #"},{"type_code":"01","label":"Other","value":"70","state":"WI","issuer":"DEANCARE PROV #"},{"type_code":"01","label":"Other","value":"1009390","state":"WI","issuer":"PHYS PLUS PROV #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-01-14","last_updated":"2023-11-27","_meta":{"source":"NPPES","snapshot_date":"2023-11-27","doc_url":"https://findmynpi.com/api"}}