Organization
ESSENTIA HEALTH VIRGINIA, LLC
Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Other names
Essentia Health Virginia Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
SAMUEL STONE (COO)
(218) 749-9496
Entity
Organization
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2348
(218) 741-3340
(218) 749-9427
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2348
(218) 741-3340
(218) 749-9427
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
324847
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936325400
—
MN
Enumeration date
05/26/2005
Last updated
04/07/2022
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