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Organization
DEER RIVER HEALTHCARE CENTER, INC.
Active
Organization
DEER RIVER HEALTHCARE CENTER, INC.
Active
Parent organization
ST. MARY'S DULUTH CINIC HEALTH SYSTEM
Other names
Essentia Health Grand Rapids Clnic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S DULUTH CINIC HEALTH SYSTEM
Authorized official
BRENDA MOOS (MANAGER-REVENUE INTEGRITY)
(218) 246-3047
Entity
Organization
Contact information
Practice address
1542 GOLF COURSE RD, GRAND RAPIDS, MN 55744-3555
(218) 999-7099
(218) 999-7099
Mailing address
1542 GOLF COURSE RD, GRAND RAPIDS, MN 55744-3555
(218) 999-7099
(218) 999-7099
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
361503
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093152423
—
MN
Enumeration date
05/24/2013
Last updated
10/18/2013
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