DEER RIVER HEALTHCARE CENTER INC NPI 1063942977

NPI Information

  • NPI: 1063942977
  • Provider Name: DEER RIVER HEALTHCARE CENTER INC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH GRAND RAPIDS CLINIC
  • CLIA Number: 24D1078962
  • Address: 1542 GOLF COURSE RD STE 202
    GRAND RAPIDS, MN
    ZIP 55744
  • Phone: (218) 999-7000

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NPI Details

DEER RIVER HEALTHCARE CENTER INC is a multi-specialty clinic center in Grand Rapids, MN. DEER RIVER HEALTHCARE CENTER INC NPI is 1063942977. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Grand Rapids Clinic.

The provider's business location address is:

1542 GOLF COURSE RD STE 202
GRAND RAPIDS, MN
ZIP 55744-557
Phone: (218) 999-7000

The provider's authorized official is Marsha Green .
The authorized official title is Coo and has the following contact phone number (218) 246-4200.

The CLIA number assigned to this NPI record is 24D1078962 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 7/21/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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