FREDERIC CLINIC
NPI 1811256126
Clinic/Center - Rural Health in Frederic, WI

Active since May 07, 2012CLIA 52D0940535 · Accreditation
205 WEST OAK STREET, FREDERIC, WI 54837(715) 327-5700(715) 327-5784 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Frederic Clinic NPPES

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

FREDERIC CLINIC (NPI 1811256126) is a healthcare organization registered as a rural health in Frederic, Wisconsin and active in the NPI registry since May 2012. The organization holds an CLIA Accreditation certificate valid through June 12, 2028 and lists Mike Youso, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811256126
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. CROIX REGIONAL MEDICAL CENTER
Location Address205 WEST OAK STREETFrederic, WI 54837
Mailing Address235 E State StSaint Croix Falls, WI 54024-4117 · (715) 483-3221 · Fax (715) 483-0507
Fax(715) 327-5784
Organization SubpartNo
Authorized OfficialMike YousoCfo · (715) 483-0535
Enumeration DateMay 7, 2012
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1811256126 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
205 WEST OAK STREET, Frederic, WI 54837

Other Names 1

Other NameFrederic Clinic

Accepted 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 52D0940535

Frederic Clinic · Frederic, WI
Active · expires Jun 12, 2028
CLIA Number52D0940535
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorMs. Brandy Jo Phillips
Laboratory Phone(715) 327-5700
Laboratory LocationFrederic Clinic205 W Oak St, Frederic, WI 54837
CLIA data matches this NPI record on: Address Name Phone
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.

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 1811256126. It was assigned to this organization in the NPPES registry on May 7, 2012. The provider is also known as Frederic Clinic.

Where is St. Croix Regional Medical Center located?

St. Croix Regional Medical Center is located at 205 West Oak Street, Frederic, WI 54837. The listed phone number is (715) 327-5700.

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 Accreditation (number 52D0940535) is associated with this NPI, valid through June 12, 2028. 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 Security Health Plan 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.