ST. MARY'S MEDICAL CENTER (NPI# 1225089634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225089634 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH ST. MARY'S HOSPICE & PALLIATIVE CARE |
| Practice Address |
407 E 3rd St Duluth MN 55805-1950 |
| Mailing Address |
330 E 2nd St Duluth MN 55805-1964 |
| Practice Telephone | 2187864020 |
| Practice Fax Number | 2187864223 |
| Mailing Telephone | 2187864020 |
| Mailing Fax Number | 2187864223 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-11-12 |
| 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 | 251G00000X | Hospice Care, Community Based | 02562 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1225089634 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 7L61ST | 01 |
| WI | 1225089634 | 05 | |
| MN | MEDICA | 5025446 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health St. Mary's Hospice & Palliative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144507708 | St. Mary's Medical Center | Home Health | 1001 Kenwood Avenue, Duluth, MN 55811-2370 | 2011-11-10 |
| 1043245921 | St. Mary's Medical Center | Home Health | 516 E 4th St, Duluth, MN 55805-1936 | 2006-07-11 |
| 1598112351 | St. Mary's Medical Center | Psychiatric Unit | 450 Stanyan St, San Francisco, CA 94117-1019 | 2016-05-20 |
| 1982088902 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2015-07-20 |
| 1235278763 | St. Mary's Medical Center | Psychiatric Hospital | 450 Stanyan St, Mcauley Adolescent Day Treatment 3n, San Francisco, CA 94117-1079 | 2007-02-05 |
| 1013933936 | St. Mary's Medical Center | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-07-14 |
| 1558356709 | St. Mary's Medical Center | Rehabilitation Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-09-14 |
| 1487656054 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | St. Mary's Medical Center PLC | 430 West Stuart Dr, Hillsville, Virginia 24343 |
| System for Award Management (SAM) Entities | ST. MARY'S MEDICAL CENTER, INC. | 2900 First Ave, Huntington, WV 25702-1241 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578335 | Jaslinks Hospice Inc | Hospice Care, Community Based | 2282 Meadow Church Rd Ste 300, Duluth, GA 30097-5318 | 2020-08-14 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1790841260 | Pioneer Acquisiton Corp | Hospice Care, Community Based | 3408 Howell St, Suite D, Duluth, GA 30096-3381 | 2006-12-29 |
| 1750908018 | Mystique Homecare Agency | Hospice Care, Community Based | 3675 Crestwood Pkwy Nw Ste 400, Duluth, GA 30096-5054 | 2020-07-01 |
| 1437392800 | Doctors Hospice of Georgia, Inc | Hospice Care, Community Based | 3660 Howell Ferry Rd, Building B, Duluth, GA 30096-3178 | 2009-04-14 |
| 1871738211 | Healthcare Investors International, Inc. | Hospice Care, Community Based | 3660 Howell Ferry Rd, Building B, Duluth, GA 30096-3178 | 2008-12-15 |
| 1265486963 | St. Luke's Hospital of Duluth | Hospice Care, Community Based | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
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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.