THE DULUTH CLINIC LTD NPI 1184132664

NPI Information

  • NPI: 1184132664
  • Provider Name: THE DULUTH CLINIC LTD
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH GRAND RAPIDS CLINIC
  • Address: 1542 GOLF COURSE RD STE 204
    GRAND RAPIDS, MN
    ZIP 55744
  • Phone: (218) 999-7000

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NPI Details

THE DULUTH CLINIC LTD is a multi-specialty clinic center in Grand Rapids, MN. THE DULUTH CLINIC LTD NPI is 1184132664. 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 204
GRAND RAPIDS, MN
ZIP 55744-555
Phone: (218) 999-7000

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 1/18/2018 and was last updated on 2/28/2024.

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
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: 11/21/2025

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