THE DULUTH CLINIC, LTD (NPI# 1902103831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902103831 |
| Entity Type | Organization |
| Organization Name | THE DULUTH CLINIC, LTD |
| Other Organization Name | ESSENTIA HEALTH PROCTOR CLINIC |
| Practice Address |
211 S Boundary Ave Proctor MN 55810-2306 |
| Practice Telephone | 2186244819 |
| Mailing Telephone | 2186244819 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2019-09-20 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1902103831 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Proctor Clinic | 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 |
| 1275839193 | The Duluth Clinic, Ltd | Clinic/Center | 1502 London Rd, Ste 102, Duluth, MN 55812-1788 | 2011-02-10 |
| Street Address |
211 S BOUNDARY AVE |
| City | PROCTOR |
| State | MN |
| Zip Code | 55810-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770583312 | Todd C Perry | Physical Therapist | 211 S Boundary Ave, Essentia Health Proctor Clinic, Proctor, MN 55810-2306 | 2005-07-26 |
| 1124676697 | Kate Jane Pelant | Family Medicine | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2019-08-28 |
| 1699259614 | Kelly A Geraghty | Physical Therapist | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2018-09-17 |
| 1407172547 | Patricia Jo Batdorf | Physical Therapist | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2010-04-14 |
| 1760628267 | Lorrie Ann Saburn | Registered Nurse | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2009-01-05 |
| 1477721942 | Erica Anne Chopskie | Registered Nurse | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2008-02-18 |
| 1316089246 | Firstsolutions | Clinical Medical Laboratory | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2007-02-14 |
| 1134261068 | Firstsolutions | Clinic/Center | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2007-02-14 |
| 1902964380 | Laurel Julia Ash | Nurse Practitioner | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2006-12-05 |
| 1043241730 | Lynn Taylor Maclean | Family Medicine | 211 S Boundary Ave, Proctor, MN 55810-2306 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1164757282 | Angela Marie Swanstrom | Registered Nurse | 9238 Meadow Street, Duluth, MN 55810 | 2009-10-07 |
| 1154584027 | Golden Oaks Advanced Assisted Living Plus - Proctor | Assisted Living Facility | 23 Waterview Dr, Proctor, MN 55810 | 2008-07-09 |
| 1285739490 | David Lawrence Bopp | Dentist | 225 Second St, Proctor, MN 55810 | 2006-09-13 |
| 1538571831 | Jessica M Downs | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55810 | 2014-05-21 |
| 1245628742 | Andrea Mckay | Specialist/Technologist | 1226 2nd Ave, Proctor, MN 55810-1218 | 2015-01-06 |
| 1194002816 | Anita Caines | Dental Hygienist | 8104 Vinland St, Duluth, MN 55810-1402 | 2011-11-09 |
| 1619350436 | Rolen Cares, LLC | Nursing Care | 204 3rd Ave, Duluth, MN 55810-1617 | 2015-06-30 |
| 1962571810 | Ltc Prescription Providers Inc | Pharmacy | 220 3rd Ave, Proctor, MN 55810-1617 | 2006-11-07 |
| 1083012165 | Fcsl Proctor, LLC | Assisted Living Facility | 913 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| Find all providers in zip 55810 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| 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 | ||||
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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.