Organization
SMDC MEDICAL CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Duluth (Rehab Unit)
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (CFO)
(218) 786-1009
Entity
Organization
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 727-8762
Mailing address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 727-8762
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
331196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138931200
OWCP
—
05
—
1518988310
—
MN
Enumeration date
07/21/2006
Last updated
02/27/2024
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