An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Critical Access Hospital | 261QC0050X |
* Indicates primary specialty
| NPI Number | 1588691588 |
| Legal business name LBN |
ST. MARY'S HOSPITAL OF SUPERIOR |
| Authorized official | KEVIN BOREN - (VP OF FINANCE) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 06/26/2006 |
| Last updated | 02/28/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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