THE DULUTH CLINIC, LTD (NPI# 1710104658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710104658 |
| Entity Type | Organization |
| Organization Name | THE DULUTH CLINIC, LTD |
| Other Organization Name | DULUTH CLINIC AT LAKEVIEW MEDICAL CENTER SPOONER DIALYSIS UNIT |
| Practice Address |
819 Ash St Spooner WI 54801-1201 |
| Practice Telephone | 7156355303 |
| Mailing Telephone | 7156355303 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-04-09 |
| Authorized Official Name | MICHAEL C METCALF (EVP) |
| Authorized Official Telephone | 2187862642 |
| 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 | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CLIA | 52D0040177 | 01 |
| Other Name | Type Code |
|---|---|
| Duluth Clinic at Lakeview Medical Center Spooner Dialysis Unit | 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 |
819 ASH ST |
| City | SPOONER |
| State | WI |
| Zip Code | 54801-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486983 | Patrick J Mccann | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2006-02-15 |
| 1235748815 | Misty Fast | Counselor | 819 Ash St, Spooner, WI 54801-1201 | 2020-07-29 |
| 1699160218 | Rachel Keenan | Registered Nurse | 819 Ash St, Spooner, WI 54801-1201 | 2015-03-31 |
| 1770823536 | Allen Daniel Eli | Physical Therapy Assistant | 819 Ash St, Spooner, WI 54801-1201 | 2013-02-15 |
| 1114262490 | Danae J Johnson | Physical Therapist | 819 Ash St, Spooner, WI 54801-1201 | 2012-11-28 |
| 1134393721 | Jill Renee Butkus | Occupational Therapist | 819 Ash St, Spooner, WI 54801-1201 | 2008-04-15 |
| 1861614208 | Renita J Flood | Occupational Therapist | 819 Ash St, Spooner, WI 54801-1201 | 2007-05-03 |
| 1528181245 | Stephen John Carlson | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-09 |
| 1093837239 | Comprehensive Foot & Ankle, Sc | Podiatrist | 819 Ash St, Spooner, WI 54801-1201 | 2007-04-06 |
| 1336267368 | Anne C Kristy | Nurse Anesthetist, Certified Registered | 819 Ash St, Spooner Health System, Spooner, WI 54801-1201 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1013266394 | Erik Lee Larson | Physical Therapist | 314 Service Rd, Spooner, WI 54801 | 2012-09-03 |
| 1912102484 | Betsy J Salquist | Speech-Language Pathologist | N5653 Ironwood Dr, Spooner, WI 54801 | 2007-06-15 |
| 1184759201 | Jo Ann E Pomerleau | Counselor | N4851 Hwy 63 South, Spooner, WI 54801 | 2007-02-22 |
| 1881752921 | Wendy J Prigge | Counselor | 410 N River St, Aurora Comm Counseling Employee Support & Services Dba, Spooner, WI 54801 | 2006-12-04 |
| 1881767754 | Strickland Chiropractic Sc | Chiropractor | 211 E Linn St, Spooner, WI 54801 | 2006-11-16 |
| 1093888455 | Vernon Edward Andersen | Chiropractor | 780 Lafollette St, Spooner, WI 54801 | 2006-11-15 |
| 1558445064 | Dellin Richard Bakkum | Dentist | W7154 Green Valley Road, Spooner, WI 54801 | 2006-10-24 |
| 1861574543 | Lyle L Lauritsen | Chiropractor | 214 Spruce St, Spooner, WI 54801 | 2006-10-20 |
| 1720169675 | Steven Leslie Schreiber | Counselor | N4851 Highway 63 South, Spooner, WI 54801 | 2006-10-18 |
| Find all providers in zip 54801 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033248513 | Lakeview Medical Center Inc of Rice Lake | Clinic/Center | 819 Ash St, Spooner, WI 54801-1201 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171599 | Dubuque Internal Medicine, PC | Clinic/Center | 190 N Orange St, Richland Center, WI 53581-2163 | 2020-10-13 |
| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
| 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.