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 | Specialty Code | Provider Type | |
Critical Access Hospital |
261QC0050X |
| NPI # | 1275102048 |
| LBN Legal business name | ESSENTIA HEALTH MOOSE LAKE |
| Authorized official | KEVIN BOREN - (VP OF FINANCE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/24/2021 |
| Last updated | 02/27/2026 - About 3 months ago |
| Identifiers | n/a |
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ESSENTIA HEALTH MOOSE LAKE
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