Organization
THE DULUTH CLINIC, LTD
Active
Parent organization
ST.. MARY'S DULUTH CLINIC HEALTH SYSTEM
Other names
Essentia Health Hayward Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
11134 N STATE ROAD 77 STE A, HAYWARD, WI 54843-5325
(715) 634-6774
(715) 634-5517
Mailing address
11134 N STATE ROAD 77 STE A, HAYWARD, WI 54843-5325
(715) 634-6774
(715) 634-5517
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33232000
—
WI
05
—
448819900
—
WI
01
—
51-24401
NCPDP
MN
01
—
573
THE DULUTH CLINIC, LTD CHAIN CODE
MN
Enumeration date
08/20/2006
Last updated
02/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us