National Provider Identifier Database

ST MARYS REGIONAL HEALTH CENTER
Rural


Contact Information

ST. MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN56501
Phone: 218-847-5611
Fax: 218-847-0881
Website:
Specialty Taxonomy Code
* Rural 282NR1301X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for ST. MARYS REGIONAL HEALTH CENTER

NPI Number 1679561088
Legal business name
LBN
ST. MARYS REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart Yes
Enumeration date 10/10/2005
Last updated 03/01/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 327830
  • MN Medicaid: 174545000

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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