St. Mary'S Hospital of Superior

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

5516-800 Issued in WI

Legal business name

ST. MARY'S HOSPITAL OF SUPERIOR

Practice address

3500 Tower Ave
Superior, WI 54880-5335

Phone

(715) 395-5400

NPI assigned

Jul 5, 2006

Organization subpart

Yes

Parent organization

ST. MARY'S HOSPITAL OF SUPERIORAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barb Wessberg

Title

Chief Operating Officer

Phone

(715) 395-5407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Mary'S Hospital of Superior

  • Rural Health Clinic/Center
  • Spooner, WI
  • NPI 1083161301

  O20040309000070

  Same enrollment
• St Mary'S Hospital of Superior

  • Rural Health Clinic/Center
  • Hayward, WI
  • NPI 1528518883

  O20040309000070

  Same enrollment
• St. Mary'S Hospital of Superior

  • Critical Access Hospital
  • Superior, WI
  • NPI 1083657886

  O20040309000070

  Same enrollment
• St. Mary'S Hospital of Superior

  • Critical Access Hospital Clinic/Center
  • Superior, WI
  • NPI 1588691588

  O20040309000070

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1700817079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805335",
            "telephone_number": "715-395-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805335",
            "telephone_number": "715-395-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOSPITAL OF SUPERIOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S HOSPITAL OF SUPERIOR",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "WESSBERG",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "715-395-5407"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "WI",
            "license": "5516-800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke'S Hospital of Duluth
• St. Luke'S Hospital of Duluth
• St. Mary'S Duluth Clinic Health System
• St. Mary'S Hospital of Superior
• St. Mary'S Hospital of Superior
• St. Mary'S Hospital of Superior
• Claire Frances Stangle, LGSW
• Darin James Steenerson, PHARM.D.
• Louanna Gayle C. Steichen, PT
• Jon Charles Stephenson, MD

• Emergency Care Clinic/Center in Superior, WI
• Providers in Superior, WI by specialty
• Emergency Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.