Organization
ESSENTIA HEALTH MOOSE LAKE
Active
Parent organization
ESSENTIA HEALTH
Other names
ESSENTIA HEALTH MOOSE LAKE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-2105
(218) 485-2106
Mailing address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-2105
(218) 485-2170
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
02/27/2026
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