Essentia Health Duluth-Amberwing Clinic

LBN: Smdc Medical Center
Essentia Health Duluth-Amberwing Clinic is an health care organization with primary practice located at 615 Pecan Ave , Duluth MN 55811. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Smdc Medical Center can be contacted via phone (218) 355-2100, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
615 Pecan Ave Duluth MN 55811
Phone: (218) 355-2100
Fax: (218) 355-2105
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1235488438
LBN Legal business name Smdc Medical Center
DBA Doing business as Essentia Health Duluth-Amberwing Clinic
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 4th, 2012
Last updated Feb 27th, 2024 - about last year

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 1235488438 NPPES
Minnesota MEDICAID 1033153895

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