ST. MARY'S HOSPITAL OF SUPERIOR; NPI #1588691588

Contact Information

ST. MARY'S HOSPITAL OF SUPERIOR

3500 TOWER AVE
SUPERIOR, WI 54880-5335

Phone: 715-817-7100
Fax: 715-395-5433
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access Hospital	261QC0050X

Indicates primary specialty

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NPI Profile & details for ST. MARY'S HOSPITAL OF SUPERIOR

NPI Number 1588691588

LBN Legal business name ST. MARY'S HOSPITAL OF SUPERIOR

Authorized official KEVIN BOREN - (VP OF FINANCE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/26/2006

Last updated 02/28/2024 - About 2 years ago

Identifiers

WI	License #	5516-800
WI	Medicaid	1588691588

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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