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ST. CROIX FALLS CLINIC
NPI 1669988861
Clinic/Center - Rural Health in Saint Croix Falls, WI

Active since December 26, 2017CLIA 52D2153797 · Waiver
216 S ADAMS ST, SAINT CROIX FALLS, WI 54024(715) 483-3221(715) 483-0507 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Sep 30, 2022, Jul 3, 2019 and 1 more (4 updates tracked since 2017).

About St. Croix Falls Clinic NPPES

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

ST. CROIX FALLS CLINIC (NPI 1669988861) is a healthcare organization registered as a rural health in Saint Croix Falls, Wisconsin and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Mike Youso, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669988861
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. CROIX REGIONAL MEDICAL CENTER
Location Address216 S ADAMS STSaint Croix Falls, WI 54024-9449
Mailing Address235 E State StSaint Croix Falls, WI 54024-4117 · (715) 483-3221 · Fax (715) 483-0507
Phone(715) 483-3221
Fax(715) 483-0507
Organization SubpartNo
Authorized OfficialMike YousoCfo · (715) 483-0535
Enumeration DateDecember 26, 2017
Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1669988861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in WI · 1041
216 S ADAMS ST, Saint Croix Falls, WI 54024
Open in Google Maps ↗

Other Names 1

Other NameSt. Croix Falls Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, UnitedHealthcare.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 Waiver 52D2153797

St Croix Falls Clinic · St Croix Falls, WI
Active · expires Aug 29, 2026
CLIA Number52D2153797
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorBrandy Jo R. Phillips
Laboratory Phone(715) 483-0433
Laboratory LocationSt Croix Falls Clinic216 South Adams Street, St Croix Falls, WI 54024
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

GLENN A NICKELE MD
Internal Medicine (Cardiovascular Disease)
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
DR. TARAH KRANZ PHARMD
Pharmacist
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-0426
COURTNEY DOBBERTIN PHARM.D.
Pharmacist
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-0426
ST. CROIX FALLS PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-0426
SEAN M KIPP DPM
Podiatrist (Foot & Ankle Surgery)
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-0241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Croix Regional Medical Center's NPI number?

The NPI number for St. Croix Regional Medical Center is 1669988861. It was assigned to this organization in the NPPES registry on December 26, 2017. The provider is also known as St. Croix Falls Clinic.

Where is St. Croix Regional Medical Center located?

St. Croix Regional Medical Center is located at 216 S Adams St, Saint Croix Falls, WI 54024. The listed phone number is (715) 483-3221.

What is St. Croix Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does St. Croix Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2153797) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Croix Regional Medical Center accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and UnitedHealthcare list St. Croix Regional Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Croix Regional Medical Center was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.