OrganizationActive
St. Mary'S Hospital of Superior
NPI 1588691588 · Critical Access Hospital Clinic/Center · Superior, WI
Provider details
- NPI number
- 1588691588
- Entity type
- Organization
- Primary specialty
- Critical Access Hospital Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Vp of Finance(218) 786-1009
- License
- 5516-800 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3500 Tower Ave
Superior, WI 54880-5335
Phone: (715) 817-7100
Fax: (715) 395-5433
Street-level locationGet directions
Mailing address
3500 Tower Ave
Superior, WI 54880-5335
Other names (DBA / former)
- Doing business as
- Essentia Health St. Mary'S-Superior Clinic
- Doing business as
- Essentia Health St. Mary'S-Superior Clinic
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.