Organization
ST. LOUIS COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY PETERSON (PUBLIC HEALTH DIRECTOR)
(218) 725-5267
Entity
Organization
Contact information
Practice address
325 W 1ST ST, SUITE 300, DULUTH, MN 55802-1650
(218) 725-5225
(218) 725-5282
Mailing address
325 W 1ST ST, SUITE 300, DULUTH, MN 55802-1650
(218) 725-5225
(218) 725-5282
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
02019
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123237
UCARE
MN
01
—
24-7012
MEDICARE PROVIDER NUMBER
MN
01
—
8272LO
1ST PLAN
MN
01
—
83-00097
MEDICA
MN
Enumeration date
02/07/2008
Last updated
02/07/2008
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