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Organization

ESSENTIA HEALTH VIRGINIA, LLC

Active
Other names
Essentia Health Ely Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL STONE (COO)
(218) 749-9496
Entity
Organization

Contact information

Practice address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
Mailing address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
10/12/2016
Last updated
04/07/2022
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