THE DULUTH CLINIC, LTD


Address: 1502 London Rd, Ste 102, Duluth, MN 55812-1788
Phone: 2187278228

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 1275839193 05

Other Provider/Organization Names

Other Name Type Code
Essentia Health Lakewalk Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1502 LONDON RD
STE 102
City DULUTH
State MN
Zip Code 55812-1788

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DULUTH
Zip Code 55812

Improve Information

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Dataset Information

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.

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