Essentia Health Home Care West

LBN: St Marys Regional Health Center
Essentia Health Home Care West is an health care organization with primary practice located at 114 Frazee St E , Detroit Lakes MN 56501. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Agencies / Home Health. Agencies / Home Health is the primary health care specialty. St Marys Regional Health Center can be contacted via phone (218) 847-0808, or through Hurley, Alan James via phone (979) 820-4247.

Contact Information

Primary practice address
114 Frazee St E Detroit Lakes MN 56501
Phone: (218) 847-0808
Fax: (218) 847-0850
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Alan James
Phone: (979) 820-4247

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1720078686
LBN Legal business name St Marys Regional Health Center
DBA Doing business as Essentia Health Home Care West
Authorized official Hurley, Alan James
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2005
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720078686 NPPES
Minnesota MEDICAID 892442000

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