Organization
ST. MARY'S REGIONAL HEALTH CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health St. Mary's - Pelican Rapids Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
ALAN JAMES HURLEY (COO)
(701) 364-7667
Entity
Organization
Contact information
Practice address
301 N BROADWAY, PELICAN RAPIDS, MN 56572-4113
(218) 863-2000
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 863-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892442000
—
MN
Enumeration date
04/24/2013
Last updated
03/01/2024
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