Organization
ST. CROIX REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE YOUSO (CFO)
(715) 483-0535
Entity
Organization
Contact information
Practice address
235 STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
1041
WI
282NC0060X
Critical Access Hospital
Primary
1041
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006064
PREFERRED ONE
WI
05
—
11015000
—
WI
05
—
11015010
—
WI
05
—
196547600
—
MN
01
—
5006381
MEDICA
WI
01
—
63Q99RI
BCBS MN PROFESSIONAL CHGS
MN
01
—
914
HEALTHPARTNERS
WI
01
—
CE8643
RR MEDICARE CLINIC
WI
01
—
E8643
RR MEDICARE HOSPITAL
WI
Enumeration date
07/04/2006
Last updated
02/24/2023
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