National Provider Identifier Database

ST MARYS REGIONAL HEALTH CENTER
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

ST MARY'S REGIONAL HEALTH CENTER
208 OAK STREET
DETROIT LAKES, MN56501
Phone: 218-847-0894
Fax: 218-847-1895
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

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

NPI Number 1437290335
Legal business name
LBN
ST MARY'S REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart Yes
Enumeration date 02/12/2007
Last updated 03/01/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 333475
  • MN Medicaid: 480075000

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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