Organization · Type 2 NPI
St. Croix Regional Medical Center
Rural Health Clinic/Center · Balsam Lake, WI
NPI number
1013423219
Active
Practice location
1504 190th Ave
Balsam Lake, WI 54810-7102
Fax (715) 825-3433
Mailing address
235 E State St
St. Croix Falls, WI 54024-4117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 1041 (WI) |
Rural Health Clinic/Center: Definition to come...
4 other providers at this address
About NPI 1013423219
St. Croix Regional Medical Center's National Provider Identifier is 1013423219, issued on Dec 26, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Balsam Lake, WI. The record was last updated on Jan 25, 2023.