THE DULUTH CLINIC, LTD (NPI# 1982641791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982641791 |
Entity Type | Organization |
Organization Name | THE DULUTH CLINIC, LTD |
Other Organization Name | ESSENTIA HEALTH AURORA CLINIC |
Practice Address |
405 W 3rd Ave N Box 392 Aurora MN 55705-1247 |
Practice Telephone | 2182293311 |
Mailing Telephone | 2182293311 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2011-02-11 |
Authorized Official Name | MICHAEL METCALF (EX. VP & SR. OFFICER DC OPERATIONS) |
Authorized Official Telephone | 2187862625 |
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 | 230814200 | 05 |
Other Name | Type Code |
---|---|
Essentia Health Aurora 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 |
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 |
1275839193 | The Duluth Clinic, Ltd | Clinic/Center | 1502 London Rd, Ste 102, Duluth, MN 55812-1788 | 2011-02-10 |
Street Address |
405 W 3RD AVE N BOX 392 |
City | AURORA |
State | MN |
Zip Code | 55705-1247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447817978 | Mesabacare LLC | Counselor | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2019-05-21 |
1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
1265533400 | Ericka Janette Lamar | Psychologist | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705 | 2006-09-26 |
1457958498 | Carol Ruth Haasl | Community Health Worker | 215 W 4th Ave N, Aurora, MN 55705-1252 | 2020-10-02 |
1649335167 | Independent School District No. 2711 | Local Education Agency (LEA) | 601 N 1st St W, Aurora, MN 55705-1301 | 2006-12-26 |
1275617128 | John Wayne Samuelson | Chiropractor | 13 W 2nd Ave N, Aurora, MN 55705-1313 | 2006-10-25 |
1235465949 | United Telecare Inc. | In Home Supportive Care | 103 W 3rd Ave N, Aurora, MN 55705-1331 | 2009-10-30 |
Find all providers in zip 55705 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1285050112 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 15235 E 38th Ave, Aurora, CO 80011-1239 | 2014-03-17 |
1982201877 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 1300 S Sable Blvd, Aurora, CO 80012-4631 | 2020-10-05 |
1720646250 | Allpria Healthcare | Clinic/Center | 10700 E Bethany Dr Ste 104, Aurora, CO 80014-2625 | 2019-05-30 |
1316445133 | University Physicians Incorporated | Clinic/Center | 1635 Aurora Court, 4th & 6th Floors, Aurora, CO 80045-2541 | 2018-01-26 |
1730698382 | University Physicians Incorporated | Clinic/Center | 5001 S Parker Rd Ste 215, Aurora, CO 80015-1183 | 2017-09-27 |
1023527660 | University Physicians, Incorporated | Clinic/Center | 12348 E Montview Blvd, Aurora, CO 80045-7103 | 2017-09-27 |
1811342876 | Dreyer Clinic Inc | Clinic/Center | 2285 Sequoia Dr, Aurora, IL 60506-6209 | 2016-04-27 |
1740648187 | Rodrigo D. Rodriguez | Clinic/Center | 1573 S Catawba Cir, Aurora, CO 80018-6012 | 2016-01-31 |
1407221898 | Dreyer Clinic, Inc | Clinic/Center | 4100 Healthway Dr, Aurora, IL 60504-4163 | 2015-12-10 |
Find all providers in AURORA |
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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.