Organization
ST. CROIX HOSPICE, LLC
Active
Other names
St. Croix Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PHENNEGER (CFO AND PRESIDENT)
(615) 544-6133
Entity
Organization
Contact information
Practice address
830 STATE ROAD 136 STE 3, BARABOO, WI 53913-9255
(608) 448-4200
(608) 448-4202
Mailing address
1175 CENTRE POINTE CIR, MENDOTA HEIGHTS, MN 55120-5500
(651) 735-3656
(651) 735-0155
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018729
—
WI
Enumeration date
09/27/2010
Last updated
05/21/2026
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