THE DULUTH CLINIC, LTD (NPI# 1275839193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275839193 |
Entity Type | Organization |
Organization Name | THE DULUTH CLINIC, LTD |
Other Organization Name | ESSENTIA HEALTH LAKEWALK CLINIC |
Practice Address |
1502 London Rd Ste 102 Duluth MN 55812-1788 |
Practice Telephone | 2187278228 |
Mailing Telephone | 2187278228 |
Enumeration Date | 2011-02-10 |
Last Update Date | 2019-09-20 |
Authorized Official Name | KEVIN BOREN (VP OF FINANCE) |
Authorized Official Telephone | 2187861009 |
Is Organization Subpart | Y |
Parent Organization Name | ST. MARY'S DULUTH CLINIC HEALTH SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1275839193 | 05 |
Other Name | Type Code |
---|---|
Essentia Health Lakewalk Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467750364 | The Duluth Clinic, Ltd | Pharmacy | 802 11th St Ste C, Two Harbors, MN 55616-1413 | 2011-03-02 |
1881633238 | The Duluth Clinic, Ltd | Clinic/Center | N10504 Grandview Ln, Ironwood, MI 49938-9621 | 2006-06-04 |
1356389316 | The Duluth Clinic, Ltd | Clinic/Center | 400 Nw 1st Street, Chisholm, MN 55719-1706 | 2006-06-03 |
1780621508 | The Duluth Clinic, Ltd | Clinic/Center | 730 E 34th St, Hibbing, MN 55746-5109 | 2006-06-01 |
1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
1235176058 | The Duluth Clinic, Ltd | Clinic/Center | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | 2006-06-01 |
1538506894 | The Duluth Clinic, Ltd | Clinic/Center | 901 9th St N, Virginia, MN 55792-2325 | 2013-05-28 |
1003114539 | The Duluth Clinic, Ltd | Pharmacy | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2011-03-08 |
1437457330 | The Duluth Clinic, Ltd | Pharmacy | 99 Edison Blvd, Suite L, Silver Bay, MN 55614-1211 | 2011-03-02 |
1902103831 | The Duluth Clinic, Ltd | Clinic/Center | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2011-02-11 |
Street Address |
1502 LONDON RD STE 102 |
City | DULUTH |
State | MN |
Zip Code | 55812-1788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053393967 | Christine M Day | Clinical Nurse Specialist | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2005-11-16 |
1710399381 | Margaret Christine Perko | Family Medicine | 1502 London Rd, Duluth, MN 55812-1788 | 2014-05-29 |
1508293259 | The Duluth Clinic, Ltd. | Non-Pharmacy Dispensing Site | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2013-09-26 |
1003114539 | The Duluth Clinic, Ltd | Pharmacy | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2011-03-08 |
1447581137 | Creative Health, LLC | Clinic/Center | 1502 London Rd, Suite 100, Duluth, MN 55812-1788 | 2010-01-20 |
1275763971 | Joan H Olson | Pharmacy Technician | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2009-07-16 |
1548499296 | Sarah Kathryne Schweiss | Pharmacist | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2009-07-02 |
1720275456 | Danielle Amber Macdonald | Pharmacist | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2007-09-26 |
1871635706 | Firstsolutions | Clinical Medical Laboratory | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2007-02-14 |
1962507806 | Jayson A Yapel | Pharmacist | 1502 London Rd, Suite 101, Duluth, MN 55812-1788 | 2006-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
Find all providers in zip 55812 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855162 | The Duluth Clinic Ltd | Clinic/Center | 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 | 2020-06-16 |
1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
1114141660 | Clinica Santa Fe | Clinic/Center | 3750 Venture Dr, Suite 130, Duluth, GA 30096-1808 | 2007-04-13 |
1083666903 | Benchmark Physical Therapy, Inc | Clinic/Center | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2006-05-17 |
1982981585 | Health Associates of Gwinnett PC | Clinic/Center | 3636 Satellite Blvd, Duluth, GA 30096-4590 | 2011-11-10 |
1093013385 | Medical Treatment Centers of America, Inc | Clinic/Center | 3636 Satellite Blvd, Duluth, GA 30096-4590 | 2011-03-10 |
1447581137 | Creative Health, LLC | Clinic/Center | 1502 London Rd, Suite 100, Duluth, MN 55812-1788 | 2010-01-20 |
1669410221 | The Duluth Clinic, Ltd | Clinic/Center | 4212 Grand Ave, Duluth, MN 55807-2737 | 2006-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
1679025746 | Centracare Clinic | Clinic/Center | 7418 Forthun Rd, Baxter, MN 56425-8702 | 2016-10-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.