THE DULUTH CLINIC, LTD (NPI# 1659486769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659486769 |
| Entity Type | Organization |
| Organization Name | THE DULUTH CLINIC, LTD |
| Other Organization Name | ESSENTIA HEALTH VIRGINIA PHARMACY |
| Practice Address |
1101 9th St N Suite A Virginia MN 55792-2329 |
| Practice Telephone | 2187497828 |
| Practice Fax Number | 2187497962 |
| Mailing Telephone | 2187497828 |
| Mailing Fax Number | 2187497962 |
| Enumeration Date | 2006-08-20 |
| 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 |
2045144 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | THE DULUTH CLINIC, LTD CHAIN CODE | 573 | 01 |
| MN | 194812100 | 05 | |
| MN | NCPDP | 24-22688 | 01 |
| Other Name | Type Code |
|---|---|
| Essentia Health Virginia 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 |
1101 9TH ST N SUITE A |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780663559 | Niles Niles Batdorf | Family Medicine | 1101 9th St N, Virginia, MN 55792-2329 | 2006-01-11 |
| 1811534118 | Brock S Clough | Nurse Anesthetist, Certified Registered | 1101 9th St N, Virginia, MN 55792-2329 | 2019-12-05 |
| 1558906974 | Clara R Hoss | Nurse Anesthetist, Certified Registered | 1101 9th St N, Virginia, MN 55792-2329 | 2019-11-08 |
| 1316582745 | Joseph F Carter | Nurse Anesthetist, Certified Registered | 1101 9th St N, Virginia, MN 55792-2329 | 2019-11-08 |
| 1619518156 | Aaron R Burkhart | Orthopaedic Surgery | 1101 9th St N, Virginia, MN 55792-2329 | 2019-10-07 |
| 1568027464 | Jenna M Altobelli | Nurse Practitioner | 1101 9th St N, Virginia, MN 55792-2329 | 2019-05-06 |
| 1326565375 | Ellen Marie Massey | Physical Therapist | 1101 9th St N, Virginia, MN 55792-2329 | 2017-08-29 |
| 1861919847 | Megan Liebel | Physical Therapist | 1101 9th St N, Virginia, MN 55792-2329 | 2017-08-29 |
| 1730615998 | Andrew Mekhail | Podiatrist | 1101 9th St N, Virginia, MN 55792-2329 | 2017-05-10 |
| 1285187658 | Alyssa Ann Leese | Nurse Practitioner | 1101 9th St N, Virginia, MN 55792-2329 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| 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 |
|---|---|---|---|---|
| 1982746400 | Jp Companies of Virginia Inc | Pharmacy | 1400 S 13th Ave, Virginia, MN 55792-3364 | 2007-02-12 |
| 1740293489 | Essentia Health Virginia LLC | Pharmacy | 901 9th Street North, Virginia, MN 55792 | 2006-08-14 |
| 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 | ||||
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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.