Essentia Health St. Mary'S - Lake Park Clinic

LBN: St. Mary'S Regional Health Center
Essentia Health St. Mary'S - Lake Park Clinic is an health care organization with primary practice located at 1005 1St St , Lake Park MN 56554-4311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St. Mary'S Regional Health Center can be contacted via phone (218) 238-5901, or through Hurley, Alan via phone (701) 364-7667.

Contact Information

Primary practice address
1005 1St St Lake Park MN 56554-4311
Phone: (218) 238-5901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Alan
Phone: (701) 364-7667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1548604309
LBN Legal business name St. Mary'S Regional Health Center
DBA Doing business as Essentia Health St. Mary'S - Lake Park Clinic
Authorized official Hurley, Alan
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 24th, 2013
Last updated Mar 1st, 2024 - about 9 months ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1548604309 NPPES
Minnesota MEDICAID 892442000

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