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ST MARY'S REGIONAL HEALTH CENTER NPI 1437290335


NPI Information

NPI: 1437290335
Provider Name: ST MARY'S REGIONAL HEALTH CENTER

Doing Business As: ESSENTIA HEALTH- LINCOLN PARK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
208 OAK STREET
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-0894
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ST MARY'S REGIONAL HEALTH CENTER is an assisted living facility in Detroit Lakes, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ST MARY'S REGIONAL HEALTH CENTER NPI is 1437290335. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health- Lincoln Park.

The provider's business location address is:

208 OAK STREET
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-0894
Fax: (218) 847-1895

The provider's authorized official is Alan James Hurley .
The authorized official title is Coo and has the following contact phone number (979) 820-4247.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 3/1/2024.


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
1310400000XAssisted Living Facility333475MINNESOTAYes

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
1480075000MEDICAIDMINNESOTA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.