THE DULUTH CLINIC, LTD (NPI# 1356389316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356389316 |
Entity Type | Organization |
Organization Name | THE DULUTH CLINIC, LTD |
Other Organization Name | ESSENTIA HEALTH CHISHOLM CLINIC |
Practice Address |
400 Nw 1st Street Chisholm MN 55719-1706 |
Practice Telephone | 2182543391 |
Mailing Telephone | 2182543391 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2015-11-06 |
Authorized Official Name | KEVIN BOREN (CFO) |
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 | 1356389316 | 05 |
Other Name | Type Code |
---|---|
Essentia Health Chisholm 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 |
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 |
1275839193 | The Duluth Clinic, Ltd | Clinic/Center | 1502 London Rd, Ste 102, Duluth, MN 55812-1788 | 2011-02-10 |
Street Address |
400 NW 1ST STREET |
City | CHISHOLM |
State | MN |
Zip Code | 55719-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669842662 | Children's Dental Services | Dentist | 229 W Lake St, Chisholm, MN 55719 | 2015-10-02 |
1578992301 | E.h. Lawrence Co., Inc. | Contractor | 101 E. Iron Drive, Chisholm, MN 55719 | 2013-11-02 |
1184969529 | Heather Hope Halverson | Massage Therapist | 100 3rd Ave, Chisholm, MN 55719 | 2012-12-11 |
1881838878 | George M. Miks | Family Medicine | 319 Nw - 6th Ave, Chisholm, MN 55719 | 2009-04-22 |
1871658377 | Ind School Dis 695 | Local Education Agency (LEA) | 300 Sw 3rd Ave, Chisholm, MN 55719 | 2006-12-26 |
1811924772 | Kayla Miller Bechthold | Optometrist | 11 1st Ave Nw, Chisholm, MN 55719 | 2006-06-27 |
1528049624 | Harold Goodman Swennes IIi | Dentist | 217 N W 1 St, Chisolm, MN 55719 | 2005-11-07 |
1093876955 | Range Center, Inc | Intermediate Care Facility, Mentally Retarded | 1001 8th Ave Nw, Chisholm, MN 55719-1148 | 2006-12-13 |
1508814575 | Chisholm Health Center | Skilled Nursing Facility | 321 6th St Ne, Chisholm, MN 55719-1287 | 2006-05-04 |
1467972653 | Michael Joseph Mitchell | Physical Therapist | 321 6th St Ne, Chisholm, MN 55719-1287 | 2017-06-20 |
Find all providers in zip 55719 |
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 |
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 |
1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
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 |
Find all providers with the same taxonomy |
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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.