THE DULUTH CLINIC, LTD (NPI# 1245346659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245346659 |
| Entity Type | Organization |
| Organization Name | THE DULUTH CLINIC, LTD |
| Other Organization Name | ESSENTIA HEALTH INTERNATIONAL FALLS PHARMACY |
| Practice Address |
2501 Keenan Dr Suite A International Falls MN 56649-2181 |
| Practice Telephone | 2182856222 |
| Practice Fax Number | 2182856223 |
| Mailing Telephone | 2182856222 |
| Mailing Fax Number | 2182856223 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-12-11 |
| Authorized Official Name | SANDRA H MASTAW (COORDINATOR PHARMACY OPERATIONS) |
| Authorized Official Telephone | 2187864265 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2614177 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 099517700 | 05 | |
| MN | NCPDP | 24-22070 | 01 |
| MN | THE DULUTH CLINIC, LTD CHAIN CODE | 573 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health International Falls Pharmacy | 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 |
| 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 |
| Street Address |
2501 KEENAN DR SUITE A |
| City | INTERNATIONAL FALLS |
| State | MN |
| Zip Code | 56649-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
| 1881144970 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2016-10-12 |
| 1689053704 | Jacelyn Paige Davidson | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2015-05-21 |
| 1477967685 | Elizabeth Lessard | Nurse Practitioner | 2501 Keenan Dr, Essentia Health International Falls, International Falls, MN 56649-2181 | 2014-06-16 |
| 1336584218 | Emily Michelle Nicholson | Physician Assistant | 2501 Keenan Dr, Rainy Lake Medical Center, International Falls, MN 56649-2181 | 2013-05-06 |
| 1063705689 | Darci Leigh Pelland | Nurse Practitioner | 2501 Keenan Dr, Rainy Lake Medical Center Clinic, International Falls, MN 56649-2181 | 2011-05-17 |
| 1881821619 | Tim Allen Smith | Psychiatry & Neurology | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2009-06-19 |
| 1932365640 | Tara B Tomczak | Pharmacist | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2008-08-01 |
| 1245393719 | Elizabeth Kathleen Marchuk | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-18 |
| 1992865935 | Alan Marc Gorden | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
| 1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
| 1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
| 1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
| 1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
| 1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
| 1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
| 1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
| 1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
| Find all providers in zip 56649 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | INTERNATIONAL FALLS |
| Zip Code | 56649 |
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.