ST MARYS MEDICAL CENTER (NPI# 1457393035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457393035 |
| Entity Type | Organization |
| Organization Name | ST MARYS MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH ST MARYS MEDICAL CENTER |
| Practice Address |
407 E 3rd St Duluth MN 55805-1950 |
| Practice Telephone | 2187864000 |
| Mailing Telephone | 2187864000 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-12-17 |
| 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 |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
338732 | MN | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 331095 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1457393035 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health St Marys Medical Center | Doing Business As Name - Organization |
| Essentia Health St. Marys Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235661539 | St Marys Medical Center | General Acute Care Hospital | 407 E 3rd St, Duluth, MN 55805-1950 | 2017-03-28 |
| 1104198670 | St Marys Medical Center | Clinic/Center | 450 Stanyan St, San Francisco, CA 94117-1019 | 2012-01-31 |
| 1316918543 | St Marys Medical Center | Skilled Nursing Facility | 2900 First Ave, Huntington, WV 25702 | 2006-01-27 |
| Street Address |
407 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293347 | Traci A. Rogers | Nurse Practitioner | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2005-05-27 |
| 1265039721 | Mark Nicholas Bloss | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-07 |
| 1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
| 1487280251 | Kara Michelle Nelson | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-12 |
| 1114552619 | Ivy A Kuschke | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-05 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1437707957 | Marissa L Engelson | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-28 |
| 1255987954 | Megan Mcgovern Colborn | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-18 |
| 1033764758 | Patrick E Finnegan | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-08 |
| 1699333658 | Olivia Ann Lambert | Speech-Language Pathologist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790715381 | Northside Hospital, Inc. | General Acute Care Hospital | 3620 Howell Ferry Road, Duluth, GA 30096-3223 | 2006-07-03 |
| 1235661539 | St Marys Medical Center | General Acute Care Hospital | 407 E 3rd St, Duluth, MN 55805-1950 | 2017-03-28 |
| 1548709314 | Georgia Plastic Surgery Specialist | General Acute Care Hospital | 3855 Pleasant Hill Rd, Suite #300, Duluth, GA 30096-1407 | 2017-02-14 |
| 1033153895 | Smdc Medical Center | General Acute Care Hospital | 502 E 2nd St, Duluth, MN 55805-1913 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811372360 | Karin Costin | General Acute Care Hospital | 803 E 28th St, Minneapolis, MN 55407 | 2015-07-27 |
| 1619317070 | Allegheny General Hospital | General Acute Care Hospital | 724 4th St Sw, Rochester, MN 55902-2913 | 2013-07-01 |
| 1003196361 | Fairview | General Acute Care Hospital | 21282 Inspiration Ct, Lakeville, MN 55044-6027 | 2011-08-18 |
| 1356652481 | Spectrum Health | General Acute Care Hospital | 25850 Brolin Beach Rd, Detroit Lakes, MN 56501-7978 | 2010-06-23 |
| 1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
| 1144477282 | Allina Home Care Hospice and Palliative Care | General Acute Care Hospital | 1055 Westgate Dr. Suite 100, St. Paul, MN 55114-1451 | 2008-08-20 |
| 1104029388 | Shannon Carl Nelson | General Acute Care Hospital | Highway 1 Box 497, Red Lake, MN 56671 | 2007-06-06 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1730232307 | Jack Ramon Lees | General Acute Care Hospital | 2146 Lemay Lake Dr, Mendota Heights, MN 55120-1183 | 2007-01-18 |
| 1245349257 | Russell Vincent Luepker | General Acute Care Hospital | 1300 S 2nd St, Suite 300, Minneapolis, MN 55454-1075 | 2006-08-30 |
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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.