Essentia Health St. Mary'S Hospital Superior

LBN: St. Mary'S Hospital Of Superior
Essentia Health St. Mary'S Hospital Superior is an health care organization with primary practice located at 3500 Tower Ave , Superior WI 54880-5335. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Emergency Care, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. St. Mary'S Hospital Of Superior can be contacted via phone (715) 395-5400, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
3500 Tower Ave Superior WI 54880-5335
Phone: (715) 395-5400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X 1032 Wisconsin
Hospitals / Critical Access 282NC0060X 5516-800 Wisconsin

Profile Details

NPI number 1083657886
LBN Legal business name St. Mary'S Hospital Of Superior
DBA Doing business as Essentia Health St. Mary'S Hospital Superior
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 13th, 2006
Last updated Feb 28th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083657886 NPPES
Wisconsin MEDICAID 1083657886

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