PINE MEDICAL CENTER NPI 1720859531

NPI Information

  • NPI: 1720859531
  • Provider Name: PINE MEDICAL CENTER
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH HINCKLEY CLINIC
  • CLIA Number: 24D2299008
  • Address: 45 LADY LUCK DR
    HINCKLEY, MN
    ZIP 55037
  • Phone: (320) 279-8600

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NPI Details

PINE MEDICAL CENTER is a multi-specialty clinic center in Hinckley, MN. PINE MEDICAL CENTER NPI is 1720859531. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Hinckley Clinic.

The provider's business location address is:

45 LADY LUCK DR
HINCKLEY, MN
ZIP 55037-419
Phone: (320) 279-8600
Fax: (320) 279-8601

The provider's authorized official is Bradley Beard .
The authorized official title is Coo and has the following contact phone number (218) 786-5652.

The CLIA number assigned to this NPI record is 24D2299008 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2024 and was last updated on 2/27/2024.

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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