Organization · Type 2 NPI

ST Mary's Hospital of Superior

Rural Health Clinic/Center · Spooner, WI

NPI number 1083161301 Active

Practice location

1180 Chandler Drive
Spooner, WI 54801

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Helen Anne Kuehlman, DOFamily Medicine Physician Spooner, WI NPI 1932380003

NPI record

NPI: 1083161301
Entity type: Organization (Type 2)
Issued: Sep 2, 2016
Last updated: Feb 28, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

<unavail>
Essentia Health Spooner Clinic · doing business as
Essentia Health Spooner Clinic · doing business as

Authorized official

Kevin Boren
VP of Finance
(218) 786-1009

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083161301

ST Mary's Hospital of Superior's National Provider Identifier is 1083161301, issued on Sep 2, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Spooner, WI. The record was last updated on Feb 28, 2024.