Organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Active
Organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
KEVIN BOREN (CFO)
(218) 786-1009
Entity
Organization
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 817-7520
Mailing address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 817-7520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D0040190
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205866928
—
MN
05
—
1205866928
—
WI
05
—
424630316
—
MI
Enumeration date
07/05/2006
Last updated
12/28/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up