Essentia Health West Duluth Clinic

LBN: The Duluth Clinic, Ltd
Essentia Health West Duluth Clinic is an health care organization with primary practice located at 4212 Grand Ave , Duluth MN 55807-2737. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. The Duluth Clinic, Ltd can be contacted via phone (218) 786-3500, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
4212 Grand Ave Duluth MN 55807-2737
Phone: (218) 786-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1669410221
LBN Legal business name The Duluth Clinic, Ltd
DBA Doing business as Essentia Health West Duluth 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669410221 NPPES
Minnesota MEDICAID 1669410221

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