ST MARY'S HOSPITAL OF SUPERIOR NPI 1528518883

NPI Information

  • NPI: 1528518883
  • Provider Name: ST MARY'S HOSPITAL OF SUPERIOR
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH HAYWARD CLINIC
  • CLIA Number: 52D0397036
  • Address: 11134 N STATE ROAD 77
    HAYWARD, WI
    ZIP 54843
  • Phone: (715) 634-5505

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NPI Details

ST MARY'S HOSPITAL OF SUPERIOR is a rural health clinic center in Hayward, WI. ST MARY'S HOSPITAL OF SUPERIOR NPI is 1528518883. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Hayward Clinic.

The provider's business location address is:

11134 N STATE ROAD 77
HAYWARD, WI
ZIP 54843-325
Phone: (715) 634-5505

The provider's authorized official is Kevin Boren .
The authorized official title is Vp Of Finance and has the following contact phone number (218) 786-1009.

The CLIA number assigned to this NPI record is 52D0397036 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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