ST. MARY'S HOSPITAL OF SUPERIOR (NPI# 1972710507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972710507 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S HOSPITAL OF SUPERIOR |
| Practice Address |
3500 Tower Ave Superior WI 54880-5335 |
| Practice Telephone | 7158177100 |
| Mailing Telephone | 7158177100 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KIM PEARSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7158177017 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S HOSPITAL OF SUPERIOR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817079 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-07-05 |
| 1588691588 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-06-26 |
| 1083657886 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-06-13 |
| 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 |
3500 TOWER AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872080 | Vicki Brady | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-5335 | 2005-12-19 |
| 1659911014 | Mary K Robinson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2020-01-13 |
| 1265093413 | Paige Lois Slemmons | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2019-06-27 |
| 1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
| 1992229579 | Renee Christine Karth-pearson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-07-26 |
| 1821518267 | Ryan Morgan | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-27 |
| 1639699200 | Nicholas C. Ellefson | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-23 |
| 1760837819 | Eric James Estes | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2016-04-26 |
| 1710352018 | Christina Drexler | Occupational Therapist | 3500 Tower Ave, Superior, WI 54880-5395 | 2015-12-11 |
| 1063881399 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite C, Superior, WI 54880-4685 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
| 1699855023 | Brodstone Memorial Hospital | Medicare Defined Swing Bed Unit | 520 E 10th St, Superior, NE 68978-1225 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407096266 | Ascension Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 601 S. Center Ave, Merrill, WI 54452-3404 | 2009-03-05 |
| 1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
| 1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| 1326349135 | St Clare Memorial Hospital, Inc | Medicare Defined Swing Bed Unit | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-11-10 |
| 1720252893 | Aurora Medical Center of Manitowoc County, Inc. | Medicare Defined Swing Bed Unit | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2008-04-18 |
| 1265618979 | Thedacare Medical Center - Shawano, Inc. | Medicare Defined Swing Bed Unit | 100 County Road B, Shawano, WI 54166-7072 | 2008-01-11 |
| 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.