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Organization

ST. MARY'S MEDICAL CENTER

Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Other names
Benet Hall
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
JAMES GARVEY (EVP HOSPITAL OPERATIONS)
(218) 786-4878
Entity
Organization

Contact information

Practice address
1001 KENWOOD AVENUE, DULUTH, MN 55811-2370
(218) 723-6564
(218) 723-6548
Mailing address
1001 KENWOOD AVENUE, DULUTH, MN 55811-2370
(218) 723-6564
(218) 723-6548

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
355203
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0049-0050996
MEDICA - ELDERLY WAIVER
MN
Enumeration date
11/10/2011
Last updated
10/04/2013
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