Organization
ST MARY'S HOSPITAL OF SUPERIOR
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Hayward Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
11134 N STATE ROAD 77, HAYWARD, WI 54843-5325
(715) 634-5505
Mailing address
11134 N STATE ROAD 77, HAYWARD, WI 54843-5325
(715) 634-5505
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
02/28/2024
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