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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 Specialty Code Provider Type

Rural

282NR1301X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ST. MARYS REGIONAL HEALTH CENTER

NPI Number 1679561088
LBN Legal business name ST. MARYS REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/10/2005
Last updated 03/01/2024 - About 2 years ago
Identifiers
MN License # 327830
MN Medicaid 174545000
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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