THE DULUTH CLINIC LTD NPI 1245278209

NPI Information

NPI: 1245278209
Provider Name: THE DULUTH CLINIC, LTD

Doing Business As: ESSENTIA HEALTH DULUTH CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
400 E 3RD ST
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
Get Directions

THE DULUTH CLINIC, LTD is a multi-specialty clinic center in Duluth, MN. THE DULUTH CLINIC, LTD NPI is 1245278209. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Essentia Health Duluth Clinic.

The provider's business location address is:

400 E 3RD ST
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-8364

The provider's authorized official is Kevin Boren .
The authorized official title is Vp Of Finance and has the following contact phone number (218) 786-1009.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
3	261QM1300X	Clinic/Center	Multi-Specialty			Yes
4	332B00000X	Durable Medical Equipment & Medical Supplies				No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy	261245	MINNESOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245278209	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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