# DEER RIVER HEALTHCARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. MARY'S DULUTH CINIC HEALTH SYSTEM
- **Other names:** Essentia Health Grand Rapids Clnic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093152423
- **Legal business name:** ST. MARY'S DULUTH CINIC HEALTH SYSTEM
- **Authorized official:** BRENDA MOOS (MANAGER-REVENUE INTEGRITY)
- **Authorized official phone:** (218) 246-3047

## Contact information

- **Practice address:** 1542 GOLF COURSE RD, GRAND RAPIDS, MN 55744-3555
- **Practice address phone:** (218) 999-7099
- **Practice address fax:** (218) 999-7099
- **Mailing address:** 1542 GOLF COURSE RD, GRAND RAPIDS, MN 55744-3555
- **Mailing address phone:** (218) 999-7099
- **Mailing address fax:** (218) 999-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 361503 | MN | Yes |

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 10/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1093152423 | — | MN |