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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 Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

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

NPI Number 1437290335
LBN Legal business name ST MARY'S REGIONAL HEALTH CENTER
Authorized official ALAN HURLEY - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/12/2007
Last updated 03/01/2024 - About 2 years ago
Identifiers
MN License # 333475
MN Medicaid 480075000
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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