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ESSENTIA HEALTH HAYWARD CLINIC
NPI 1528518883
Clinic/Center - Rural Health in Hayward, WI

Active since October 11, 2016CLIA 52D0397036 · Accreditation
11134 N STATE ROAD 77, HAYWARD, WI 54843(715) 634-5505 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2020, Oct 12, 2016 (2 updates tracked since 2016).

About Essentia Health Hayward Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH HAYWARD CLINIC (NPI 1528518883) is a healthcare organization registered as a rural health in Hayward, Wisconsin and active in the NPI registry since October 2016. The organization holds an CLIA Accreditation certificate valid through April 17, 2028 and lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1528518883
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST MARY'S HOSPITAL OF SUPERIOR
Location Address11134 N STATE ROAD 77Hayward, WI 54843-5325
Mailing Address11134 N State Road 77Hayward, WI 54843-5325 · (715) 634-5505
Phone(715) 634-5505
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009
Enumeration DateOctober 11, 2016
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1528518883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
11134 N STATE ROAD 77, Hayward, WI 54843
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Other Names 1

Doing Business AsEssentia Health Hayward Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0397036

Essentia Health Hayward Clinic · Hayward, WI
Active · expires Apr 17, 2028
CLIA Number52D0397036
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorTheresa Sarkela
Laboratory Phone(715) 634-5522
Laboratory LocationEssentia Health Hayward Clinic11134 Wi-77, Hayward, WI 54843
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA LEE FAFARA ATC
Specialist/Technologist (Athletic Trainer)
11134 N STATE ROAD 77
HAYWARD, WI 54843
Sawyer County (715) 634-5505
BENJAMIN FORBES TURNER M.D.
Family Medicine
11134 N STATE ROAD 77, ESSENTIA HEALTH HAYWARD CLINIC
HAYWARD, WI 54843
Sawyer County (715) 634-5505
CHARLES GRAY PT
Physical Therapist
11134 N STATE ROAD 77, DULUTH CLINIC HAYWARD
HAYWARD, WI 54843
Sawyer County (715) 634-5505
DR. DARREN WILLIAM PERTTU M.D.
Surgery
11134 N STATE ROAD 77, ESSENTIA HEALTH HAYWARD CLINIC
HAYWARD, WI 54843
Sawyer County (715) 634-5505
MELANIE PEYTON PTA
Physical Therapy Assistant
11134 N STATE ROAD 77
HAYWARD, WI 54843
Sawyer County (715) 634-5506
JAMIE LEA TAYLOR BELL PA-C
Physician Assistant
11134 N STATE ROAD 77
HAYWARD, WI 54843
Sawyer County (715) 634-5505
KATE MARIE LESLIE APRN/CNP
Nurse Practitioner (Family)
11134 N STATE ROAD 77
HAYWARD, WI 54843
Sawyer County (715) 634-5505
DR. MATTHEW PAUL WHEELER MD
Family Medicine
11134 N STATE ROAD 77
HAYWARD, WI 54843
Sawyer County (715) 634-5505

Frequently Asked Questions

What is ST MARY'S HOSPITAL OF SUPERIOR's NPI number?

The NPI number assigned to this healthcare provider is 1528518883, enumerated as an "organization" on October 11, 2016.

Where is the provider located?

The provider is located at 11134 N STATE ROAD 77 HAYWARD, WI 54843 and the phone number is (715) 634-5505.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

What insurance does ST MARY'S HOSPITAL OF SUPERIOR accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to verify.