THE DULUTH CLINIC LTD (NPI# 1184132664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184132664 |
| Entity Type | Organization |
| Organization Name | THE DULUTH CLINIC LTD |
| Other Organization Name | ESSENTIA HEALTH GRAND RAPIDS CLINIC |
| Practice Address |
1542 Golf Course Rd Ste 204 Grand Rapids MN 55744-3555 |
| Practice Telephone | 2189997000 |
| Mailing Telephone | 2189997000 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-02-21 |
| 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 |
| Other Name | Type Code |
|---|---|
| Essentia Health Grand Rapids Clinic | Doing Business As Name - Organization |
| 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 |
| 1902459209 | The Duluth Clinic Ltd | Clinic/Center | 1301 Miller Trunk Hwy Ste 400, Duluth, MN 55811-5639 | 2019-07-17 |
| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
| 1831690346 | The Duluth Clinic Ltd | Pharmacy | 1542 Golf Course Rd Ste 205, Grand Rapids, MN 55744-3555 | 2018-02-21 |
| 1427164839 | The Duluth Clinic Ltd | Pharmacy | 4212 Grand Ave, Suite A, Duluth, MN 55807-2737 | 2006-08-21 |
| Street Address |
1542 GOLF COURSE RD STE 204 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697411 | Denise Ann Hove | Audiologist | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2006-07-07 |
| 1477108033 | Kelley L Jensen | Nurse Practitioner | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3537 | 2019-08-09 |
| 1598321994 | Nicole Pink | Nurse Practitioner | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2019-05-13 |
| 1255824124 | Danika Jo Nichols | Nurse Practitioner | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2018-06-14 |
| 1336661644 | Linus Munrengsong Leivon | Family Medicine | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3537 | 2017-07-10 |
| 1073051926 | Meg E. Demuri | Physician Assistant | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744 | 2017-02-10 |
| 1144578568 | Natalie Jane Gustafson | Nurse Practitioner | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2012-08-15 |
| 1447276514 | Stephen Richard Park | Family Medicine | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
| 1417950395 | Grand Valley Surgical Center, LLC | Clinic/Center | 2680 Leonard St Ne, Ste 1, Grand Rapids, MI 49525-6902 | 2005-05-24 |
| 1457863565 | Advantage Health/saint Mary's Medical Group | Clinic/Center | 260 Jefferson Ave Se Ste 115, Grand Rapids, MI 49503-4597 | 2017-10-30 |
| 1376862151 | Advantage Health/saint Mary's Medical Group | Clinic/Center | 245 State St Se, Grand Rapids, MI 49503-4328 | 2010-05-19 |
| 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 | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on THE DULUTH CLINIC LTD.
| 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.