THE DULUTH CLINIC, LTD.


Address: 204 Belknap St, Ste 100, Superior, WI 54880-2964
Phone: 2187864265

THE DULUTH CLINIC, LTD. (NPI# 1942816939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942816939
Entity Type Organization
Organization Name THE DULUTH CLINIC, LTD.
Practice Address 204 Belknap St
Ste 100
Superior
WI 54880-2964
Practice Telephone 2187864265
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Authorized Official Name KEVIN BOREN (CFO)
Authorized Official Telephone 2187868580
Is Organization Subpart Y
Parent Organization Name ST. MARY'S DULUTH CLINIC HEALTH SYSTEM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Essentia Health Belknap Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801438361 The Duluth Clinic, Ltd. Pharmacy 2 Division St Ste A, Deer River, MN 56636-8779 2019-10-16
1205253325 The Duluth Clinic, Ltd. Clinic/Center 2202 East 2nd Street, Suite 377, Superior, WI 54880-3709 2014-03-26
1477979326 The Duluth Clinic, Ltd. Pharmacy 2202 E 2nd St., Suite 477, Superior, WI 54880-5395 2014-03-14
1477668580 The Duluth Clinic, Ltd. Pharmacy 420 E 1st Street, Suite A, Duluth, MN 55805-1901 2006-08-20
1063881399 The Duluth Clinic, Ltd. Pharmacy 3500 Tower Ave, Suite C, Superior, WI 54880-4685 2015-09-16
1871962282 The Duluth Clinic, Ltd. Pharmacy 3500 Tower Ave, Suite B, Superior, WI 54880-4685 2015-09-16
1508293259 The Duluth Clinic, Ltd. Non-Pharmacy Dispensing Site 1502 London Rd, Suite 102, Duluth, MN 55812-1788 2013-09-26
1518073923 The Duluth Clinic, Ltd. Pharmacy 400 E 3rd St, Suite A, Duluth, MN 55805-1951 2006-08-21

Office Location

Street Address 204 BELKNAP ST
STE 100
City SUPERIOR
State WI
Zip Code 54880-2964

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104427194 Alana Catherine Sullivan Speech-Language Pathologist 25 N 25th Street E, Superior, WI 54880 2020-11-05
1710524970 Sean Wiberg Peterson Specialist/Technologist 1810 Catlin Ave, Room 1246, Superior, WI 54880 2019-12-06
1558858936 Brent Adam Engstrom Student in an Organized Health Care Education/Training Program 1410 Nth 23rd Street, Superior, WI 54880 2018-04-20
1558769125 David Kroll Specialist Balknap & Catlin Aves., Superior, WI 54880 2014-12-15
1154670321 Superior Treatment Center, Inc Community/Behavioral Health 1507 Tower Ave Ste 307, Superior, WI 54880 2012-09-04
1548551658 Dionne Jeannine Corcoran Midwife 916 Hammond Ave Ste 222, Superior, WI 54880 2011-04-22
1821235433 Lauren Ashley Miller Speech-Language Pathologist 35 N. 28th Street, Superior, WI 54880 2009-01-20
1528261989 Stacy Ann Kennelly Physical Therapist 1612 N 37th Street, Superior, WI 54880 2007-06-06
1760564942 James Henry Dobis Family Medicine 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 2006-10-19
1134214398 Kevin M Mikel Dentist 3312 Tower Avenue, Superior, WI 54880 2006-10-04
Find all providers in zip 54880

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477979326 The Duluth Clinic, Ltd. Pharmacy 2202 E 2nd St., Suite 477, Superior, WI 54880-5395 2014-03-14
1811084023 Superior Pharmacy, Inc. Pharmacy 348 N Central Ave, Superior, NE 68978-1715 2006-10-07
1063881399 The Duluth Clinic, Ltd. Pharmacy 3500 Tower Ave, Suite C, Superior, WI 54880-4685 2015-09-16
1871962282 The Duluth Clinic, Ltd. Pharmacy 3500 Tower Ave, Suite B, Superior, WI 54880-4685 2015-09-16
1154437564 The Duluth Clinic, Ltd Pharmacy 3500 Tower Ave, Suite A, Superior, WI 54880-5335 2006-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902417207 Ipack Pharmacy LLC Pharmacy 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 2020-08-11
1851939037 Ascension Wisconsin Pharmacy, Inc Pharmacy 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 2019-12-18
1558906354 Life Change Rx 4 LLC Pharmacy 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 2019-11-15
1285278978 Life Change Rx 3 LLC Pharmacy 7115 W Capitol Dr, Milwaukee, WI 53216-2051 2019-11-05
1295377703 Hayat Pharmacy 21 LLC. Pharmacy 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 2019-10-16
1487296737 Xperience Pharmacy LLC Pharmacy 5715 W Appleton Ave, Milwaukee, WI 53210-2250 2019-10-08
1962053421 Hayat Pharmacy 19 LLC Pharmacy 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 2019-09-26
1275182925 Walgreen Co Pharmacy 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 2019-09-05
1982257200 Hayat Pharmacy 16 LLC Pharmacy 603 N 36th St, Milwaukee, WI 53208-3826 2019-07-17
1407408420 Hayat Pharmacy 18 LLC Pharmacy 140 E Water St Ste 3, West Bend, WI 53095-3415 2019-07-10
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City SUPERIOR
Zip Code 54880

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Dataset Information

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.

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