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) 246-3013
Mailing address
115 10TH AVE NE, DEER RIVER, MN 56636-8795
(218) 246-2900
(218) 246-3013
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
800862-1-ADC
MN
282NC0060X
Critical Access Hospital
Primary
331194
MN
310400000X
Assisted Living Facility
333123
MN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
204876-9
MN
3416L0300X
Land Ambulance
—
—
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021626
PREFERRED ONE
MN
05
—
1225049018
—
MN
01
—
1604HCO
BLUE CROSS
MN
01
—
300367
UCARE
MN
01
—
5025365
MEDICA
MN
Enumeration date
08/10/2006
Last updated
04/07/2022
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