National Provider Identifier Database

ST MARYS REGIONAL HEALTH CENTER
Rural Health


Contact Information

ST. MARY'S REGIONAL HEALTH CENTER
301 N BROADWAY
PELICAN RAPIDS, MN56572-4113
Phone: 218-863-2000
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ST. MARY'S REGIONAL HEALTH CENTER

NPI Number 1265876023
Legal business name
LBN
ST. MARY'S REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart Yes
Enumeration date 04/24/2013
Last updated 03/01/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 892442000

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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