# FREE CLINIC OF PIERCE & ST. CROIX COUNTIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073447884
- **Authorized official:** JENA MOST RN (NURSING SUPERVISOR)
- **Authorized official phone:** (651) 503-0639

## Contact information

- **Practice address:** 1629 E DIVISION ST, RIVER FALLS, WI 54022-1571
- **Practice address phone:** (715) 307-3948
- **Practice address fax:** (715) 307-6005
- **Mailing address:** 1629 E DIVISION ST, RIVER FALLS, WI 54022-1571
- **Mailing address phone:** (715) 307-3948
- **Mailing address fax:** (715) 307-6005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 06/09/2026