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Contact Information

ST MARYS REGIONAL HEALTH CENTER
114 FRAZEE ST E
DETROIT LAKES, MN56501
 Phone: 218-847-0808
 Fax: 218-847-0850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for ST MARYS REGIONAL HEALTH CENTER

NPI Number 1720078686
LBN Legal business name ST MARYS REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/24/2005
Last updated 03/01/2024 - About 2 years ago
Identifiers
MN Medicaid 892442000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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