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POLINSKY MEDICAL REHABILITATION CENTER NPI 1639237746


NPI Information

NPI: 1639237746
Provider Name: POLINSKY MEDICAL REHABILITATION CENTER

Doing Business As: ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN
ZIP 55811
Phone: (218) 786-5360
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POLINSKY MEDICAL REHABILITATION CENTER is a rehabilitation clinic center in Duluth, MN. POLINSKY MEDICAL REHABILITATION CENTER NPI is 1639237746. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Polinsky Medical Rehabilitation Center.

The provider's business location address is:

1600 MILLER TRUNK HWY BLDG C
DULUTH, MN
ZIP 55811-640
Phone: (218) 786-5360

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 12/4/2006 and was last updated on 2/10/2021.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0400XClinic/CenterRehabilitationYes

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
11639237746MEDICAIDMINNESOTA
21639237746MEDICAIDWISCONSIN

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: 11/14/2023

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