St Croix Health Center

LBN: St Croix County
St Croix Health Center is an health care organization with primary practice located at 1445 N 4Th St , New Richmond WI 54017-1063. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. St Croix County can be contacted via phone (715) 246-6991, or through Hackenmueller, Sandy via phone (715) 246-8229.

Contact Information

Primary practice address
1445 N 4Th St New Richmond WI 54017-1063
Phone: (715) 246-6991
Fax: (715) 246-8225
Website:
Map and Directions
Authorized official contact:
Name: Hackenmueller, Sandy NHA, RN, WCC
Phone: (715) 246-8229

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2415 Wisconsin
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 2415 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2415 Wisconsin

Profile Details

NPI number 1225036783
LBN Legal business name St Croix County
DBA Doing business as St Croix Health Center
Authorized official Hackenmueller, Sandy NHA, RN, WCC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225036783 NPPES
Wisconsin MEDICAID 20159700

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