ST. LUKE'S HOSPITAL OF DULUTH NPI 1609828029

NPI Information

  • NPI: 1609828029
  • Provider Name: ST. LUKE'S HOSPITAL OF DULUTH
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ASPIRUS ST LUKES HERMANTOWN CLINIC
  • CLIA Number: 24D0913585
  • Address: 4190 LOBERG AVE
    DULUTH, MN
    ZIP 55811
  • Phone: (218) 249-4600

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NPI Details

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 1609828029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aspirus St Lukes Hermantown Clinic.

The provider's business location address is:

4190 LOBERG AVE
DULUTH, MN
ZIP 55811-652
Phone: (218) 249-4600
Fax: (218) 249-4666

The provider's authorized official is Katherine Becker .
The authorized official title is Vp Compliance and has the following contact phone number (218) 249-5555.

The CLIA number assigned to this NPI record is 24D0913585 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/22/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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