# NORTHERN PINES MEDICAL CENTER

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

## Provider details

- **NPI number:** 1881954147
- **Legal business name:** ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
- **Authorized official:** LAURA J ACKMAN (CEO)
- **Authorized official phone:** (218) 229-4222

## Contact information

- **Practice address:** 5211 HIGHWAY 110, AURORA, MN 55705-1522
- **Practice address phone:** (218) 229-2211
- **Mailing address:** 5211 HIGHWAY 110, AURORA, MN 55705-1522
- **Mailing address phone:** (218) 229-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 00604 | MN | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 10/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1881954147 | — | MN |