| St Croix Health Center | |
|
1445 N 4th St New Richmond WI 54017-1063 | |
| (715) 246-6991 | |
| (715) 246-8225 |
| Full Name | St Croix Health Center |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 1445 N 4th St, New Richmond, Wisconsin |
| Authorized Official Name and Position | Sandy Hackenmueller (ADMINISTRATOR) |
| Authorized Official Contact | 7152468229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Croix Health Center 1445 N 4th St New Richmond WI 54017-1063 Ph: (715) 246-6991 | St Croix Health Center 1445 N 4th St New Richmond WI 54017-1063 Ph: (715) 246-6991 |
| NPI Number | 1225036783 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Medicare PECOS PAC ID | 3779676044 |
|---|---|
| Medicare Enrollment ID | O20111207000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225036783 | NPI | - | NPPES |
| 20159700 | Medicaid | WI |
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