Essentia Health Deer River Clinic

LBN: Deer River Healthcare Center, Inc
Essentia Health Deer River Clinic is an health care organization with primary practice located at 115 10Th Ave Ne Suite A, Deer River MN 56636-8795. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Deer River Healthcare Center, Inc can be contacted via phone (218) 246-8275, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
115 10Th Ave Ne Suite A Deer River MN 56636-8795
Fax:
Website:
Authorized official contact:
Name: Boren, Kevin

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X

Profile Details

NPI number 1518904887
LBN Legal business name Deer River Healthcare Center, Inc
DBA Doing business as Essentia Health Deer River Clinic
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Apr 7th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518904887 NPPES
Minnesota MEDICAID 1518904887

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