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Contact Information

ST. MARY'S REGIONAL HEALTH CENTER
301 N BROADWAY
PELICAN RAPIDS, MN56572-4113
 Phone: 218-863-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI Number 1265876023
LBN Legal business name ST. MARY'S REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/24/2013
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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