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General NPI Number Information
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NPI Number | 1043240922
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Entity Type | Organization
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Legal Business Name | ST. CROIX REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 235 STATE ST
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-4117
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Country | US
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Telephone | 715-483-3221
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Fax | 715-483-0507
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Provider Business Mailing Address
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Address Line | 235 E STATE ST
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-4117
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Country | US
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Telephone | 715-483-3221
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Fax | 715-483-0507
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Authorized Official
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Title or Position | CFO
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Name | MIKE YOUSO
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Credential |
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Telephone | 715-483-0535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 1041
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1041
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License Number State | WI
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