ST. CROIX REGIONAL MEDICAL CENTER (NPI# 1811256126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811256126 |
| Entity Type | Organization |
| Organization Name | ST. CROIX REGIONAL MEDICAL CENTER |
| Other Organization Name | FREDERIC CLINIC |
| Practice Address |
205 West Oak Street Frederic WI 54837 |
| Mailing Address |
235 E State St Saint Croix Falls WI 54024-4117 |
| Practice Telephone | 7153275700 |
| Practice Fax Number | 7153275784 |
| Mailing Telephone | 7154833221 |
| Mailing Fax Number | 7154830507 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | SALLY BAJAK (CFO) |
| Authorized Official Telephone | 7154830556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
1041 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Frederic Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033451620 | St. Croix Regional Medical Center | Family Medicine | 12375 Lindstrom Ln, Lindstrom, MN 55045-9551 | 2013-03-21 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1043240922 | St. Croix Regional Medical Center | Clinic/Center | 235 State St, Saint Croix Falls, WI 54024-4117 | 2006-07-04 |
| 1669988861 | St. Croix Regional Medical Center | Clinic/Center | 216 S Adams St, Saint Croix Falls, WI 54024-9449 | 2017-12-26 |
| 1013423219 | St. Croix Regional Medical Center | Clinic/Center | 1504 190th Ave, Balsam Lake, WI 54810-7102 | 2017-12-26 |
| Street Address |
205 WEST OAK STREET |
| City | FREDERIC |
| State | WI |
| Zip Code | 54837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548639636 | Austin Ross | Pharmacist | 201 Oak St West, Frederic, WI 54837 | 2015-09-18 |
| 1447497763 | Saint-mark Enterprises 1855 LLC | Durable Medical Equipment & Medical Supplies | 110 E Oak St, Frederic, WI 54837 | 2009-01-08 |
| 1639263221 | Pharmacy Operations Inc | Pharmacy | 110 E Oak Street, Frederic, WI 54837 | 2006-10-03 |
| 1457338139 | Joseph L Marek | Chiropractor | 101 United Way, Frederic, WI 54837 | 2005-12-23 |
| 1669572590 | Steven Richard Tesch | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
| 1306946223 | Bradley Scott Harlander | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
| 1689004426 | Kristina M Thompson | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2013-11-14 |
| 1588158679 | Hope Road Wellness Center, LLC | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2018-06-21 |
| 1043499734 | School District of Frederic | Local Education Agency (LEA) | 1437 Clam Falls Dr, Frederic, WI 54837-4547 | 2007-10-30 |
| 1205099579 | Robin V Richey | Registered Nurse | 2707 100th St, Frederic, WI 54837-5026 | 2008-07-08 |
| Find all providers in zip 54837 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1851345268 | Amery Regional Medical Center, Inc. | Clinic/Center | 137 First Ave, Luck, WI 54853-9057 | 2006-05-20 |
| 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.