Organization
DEER RIVER HEALTHCARE CENTER, INC.
Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Other names
Essentia Health Deer River
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
115 10TH AVE NE, DEER RIVER, MN 56636-8795
(218) 246-2900
(218) 246-3057
Mailing address
115 10TH AVE NE, DEER RIVER, MN 56636-8795
(218) 246-2900
(218) 246-3057
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
331194
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215041199
—
MN
01
—
1604HCO
BLUE CROSS
MN
Enumeration date
08/18/2006
Last updated
04/07/2022
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