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Contact Information

DULUTH REGIONAL CARE CENTER
5629 GRAND AVENUE
DULUTH, MN55807
 Phone: 218-722-8180
 Fax: 218-727-9555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for DULUTH REGIONAL CARE CENTER

NPI Number 1326109174
LBN Legal business name DULUTH REGIONAL CARE CENTER
Authorized official ABIGAIL STUBBLEFIELD - (ACCOUNTS RECEIVABLE COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 05/19/2025 - More than a year ago
Identifiers
MN License # 80038442RS
MN License # 8006732RS
MN License # 8006772RS
MN License # 8043741RS
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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