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ST. LUKE'S HOSPITAL OF DULUTH NPI 1306870654


NPI Information

NPI: 1306870654
Provider Name: ST. LUKE'S HOSPITAL OF DULUTH

Doing Business As: P. S. RUDIE MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 24D0689777

Address:
26 E SUPERIOR ST
STE 205
DULUTH, MN
ZIP 55802
Phone: (218) 249-4300
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ST. LUKE'S HOSPITAL OF DULUTH is a family medicine in Duluth, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. LUKE'S HOSPITAL OF DULUTH NPI is 1306870654. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As P. S. Rudie Medical Clinic.

The provider's business location address is:

26 E SUPERIOR ST
STE 205
DULUTH, MN
ZIP 55802-196
Phone: (218) 249-4300
Fax: (218) 249-4350

The provider's authorized official is Eric Lohn .
The authorized official title is President, Ceo and has the following contact phone number (218) 249-5475.

The CLIA number assigned to this NPI record is 24D0689777 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/2/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136P16RUOTHERMINNESOTABCBSMN

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

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