# DEER RIVER HEALTHCARE CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
- **Other names:** Essentia Health Deer River Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518904887
- **Legal business name:** ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
- **Authorized official:** KEVIN BOREN (CFO)
- **Authorized official phone:** (218) 786-1009

## Contact information

- **Practice address:** 115 10TH AVE NE, SUITE A, DEER RIVER, MN 56636-8795
- **Practice address phone:** (218) 246-8275
- **Mailing address:** 115 10TH AVE NE, SUITE A, DEER RIVER, MN 56636-8795
- **Mailing address phone:** (218) 246-8275

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 04/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518904887 | — | MN |