ST MARY'S HOSPITAL OF SUPERIOR (NPI# 1528518883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528518883 |
| Entity Type | Organization |
| Organization Name | ST MARY'S HOSPITAL OF SUPERIOR |
| Other Organization Name | ESSENTIA HEALTH HAYWARD CLINIC |
| Practice Address |
11134 N State Road 77 Hayward WI 54843-5325 |
| Practice Telephone | 7156345505 |
| Mailing Telephone | 7156345505 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KIM PEARSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7158177017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Essentia Health Hayward Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161301 | St Mary's Hospital of Superior | Clinic/Center | 1180 Chandler Drive, Spooner, WI 54801 | 2016-09-02 |
| 1760425847 | St Mary's Hospital of Superior | Clinic/Center | 11134 N State Road 77, Hayward, WI 54843-5325 | 2006-06-14 |
| 1215974035 | St Mary's Hospital of Superior | Clinic/Center | 1180 Chandler Dr, Spooner, WI 54801-1234 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL OF SUPERIOR | 3500 Tower Ave, Superior, WI 54880-5335 |
| Street Address |
11134 N STATE ROAD 77 |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609986280 | Jamie Lea Taylor Bell | Physician Assistant | 11134 N State Road 77, Hayward, WI 54843-5325 | 2006-08-30 |
| 1669964565 | Kate Marie Leslie | Nurse Practitioner | 11134 N State Road 77, Hayward, WI 54843-5325 | 2018-06-06 |
| 1255872966 | Melanie Peyton | Physical Therapy Assistant | 11134 N State Road 77, Hayward, WI 54843-5325 | 2017-03-14 |
| 1356684880 | Amanda Lee Suino | Nurse Practitioner | 11134 N State Road 77, Hayward, WI 54843-5325 | 2013-04-03 |
| 1073833174 | Darren William Perttu | Surgery | 11134 N State Road 77, Essentia Health Hayward Clinic, Hayward, WI 54843-5325 | 2010-06-11 |
| 1730314253 | Kimberly A Perttu | Family Medicine | 11134 N State Road 77, Essentia Health Hayward Clinic, Hayward, WI 54843-5325 | 2009-05-28 |
| 1821234394 | Charles Gray | Physical Therapist | 11134 N State Road 77, Duluth Clinic Hayward, Hayward, WI 54843-5325 | 2009-01-05 |
| 1902073836 | Benjamin Forbes Turner | Family Medicine | 11134 N State Road 77, Essentia Health Hayward Clinic, Hayward, WI 54843-5325 | 2008-05-09 |
| 1386820090 | Julie A Arnett | Nurse Practitioner | 11134 N State Road 77, Hayward, WI 54843-5325 | 2008-01-11 |
| 1528131752 | Laura Lee Fafara | Specialist/Technologist | 11134 N State Road 77, Hayward, WI 54843-5325 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.