An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Critical Access Hospital | 261QC0050X |
* Indicates primary specialty
| NPI Number | 1275102048 |
| Legal business name LBN |
ESSENTIA HEALTH MOOSE LAKE |
| Authorized official | KEVIN BOREN - (VP OF FINANCE) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 06/24/2021 |
| Last updated | 02/27/2026 - About 3 months ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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