Organization
DEER RIVER HEALTHCARE CENTER INC
Active
Parent organization
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Other names
Essentia Health Homestead
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
KEVIN BOREN (CFO)
(218) 786-1009
Entity
Organization
Contact information
Practice address
115 10TH AVE NE, DEER RIVER, MN 56636-8795
(218) 246-2900
(218) 246-3057
Mailing address
115 10TH AVE NE, DEER RIVER, MN 56636-8795
(218) 246-2900
(218) 246-3013
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021626
PREFERRED ONE
MN
01
—
1604E
BLUE CROSS
MN
05
—
1609989326
—
MN
01
—
300367
UCARE
MN
01
—
5025365
MEDICA
MN
Enumeration date
08/16/2006
Last updated
04/07/2022
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