Organization
ST MARY'S REGIONAL HEALTH CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Park Rapids Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
ALAN JAMES HURLEY (COO)
(701) 364-7667
Entity
Organization
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14522
—
ND
05
—
800035000
—
MN
Enumeration date
11/10/2007
Last updated
03/01/2024
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