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Contact Information

ESSENTIA HEALTH MOOSE LAKE
4572 COUNTY ROAD 61
MOOSE LAKE, MN55767-9401
 Phone: 218-485-2105
 Fax: 218-485-2106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access Hospital

261QC0050X
Indicates primary specialty

NPI Profile & details for ESSENTIA HEALTH MOOSE LAKE

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
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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