Essentia Health Moose Lake Clinic

LBN: Essentia Health Moose Lake
Essentia Health Moose Lake Clinic is an health care organization with primary practice located at 4572 County Road 61 , Moose Lake MN 55767-9401. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Essentia Health Moose Lake can be contacted via phone (218) 485-2105, or through Beard, Bradley via phone (218) 786-5652.

Contact Information

Primary practice address
4572 County Road 61 Moose Lake MN 55767-9401
Phone: (218) 485-2105
Fax: (218) 485-2106
Website:
Map and Directions
Authorized official contact:
Name: Beard, Bradley
Phone: (218) 786-5652

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X

Profile Details

NPI number 1275102048
LBN Legal business name Essentia Health Moose Lake
DBA Doing business as Essentia Health Moose Lake Clinic
Authorized official Beard, Bradley
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 24th, 2021
Last updated Feb 27th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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