Essentia Health Lakeside Clinic
LBN: The Duluth Clinic, Ltd
Essentia Health Lakeside Clinic is an health care organization with primary practice located at 4621 E Superior St , Duluth MN 55804-2338. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
The Duluth Clinic, Ltd can be contacted via phone (218) 786-3550, or through Boren, Kevin via phone (218) 786-1009.
Contact Information
Primary practice address
4621 E Superior St
Duluth MN 55804-2338
Phone: (218) 786-3550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1245278936 |
|---|---|
| LBN Legal business name | The Duluth Clinic, Ltd |
| DBA Doing business as | Essentia Health Lakeside Clinic |
| Authorized official | Boren, Kevin |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Feb 28th, 2024 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245278936 | NPPES |
| Minnesota | MEDICAID | 1245278936 |
Popular Providers
-
Cerebral Palsy Association Of G.B.R., Inc.
1805 College Dr , Baton Rouge LA 70808-1919 -
The Woodlands Sports Medicine Centre, Pa
1441 Woodstead Ct Ste 300, The Woodlands TX 77380-1449 -
The Duluth Clinic, Ltd
4212 Grand Ave , Duluth MN 55807-2737 -
Shannon Gray
605 N Gilbert Rd , Mesa AZ 85203-6629 -
Grand Valley Surgical Center, Llc
2680 Leonard St Ne Ste 1, Grand Rapids MI 49525-6902 -
Highland Clinic, A Prof Med Corp
1455 E Bert Kouns Loop , Shreveport LA 71105-5634 -
Watson Clinic Llp
1600 Lakeland Hills Blvd , Lakeland FL 33805-3019 -
Wilkes Barre Asc., Lp
545 N River St , Wilkes Barre PA 18702-2600