Organization
ST MARYS REGIONAL HEALTH CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Oak Crossing
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
ALAN JAMES HURLEY (COO)
(979) 820-4247
Entity
Organization
Contact information
Practice address
1040 LINCOLN AVE, DETROIT LAKES, MN 56501-3409
(218) 847-0820
(218) 844-0780
Mailing address
1040 LINCOLN AVE, DETROIT LAKES, MN 56501-3409
(218) 847-0820
(218) 844-0780
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
328815
MN
314000000X
Skilled Nursing Facility
Primary
354804
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607EMA
BLUE CROSS BLUE SHIELD MN
MN
05
—
623840800
—
MN
01
—
7122625
MEDICA
MN
01
—
8Y02MA
BLUE CROSS BLUE SHIELD
MN
01
—
8Y02MA
BLUE CROSS BLUE SHIE
—
Enumeration date
10/25/2005
Last updated
03/01/2024
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