Essentia Health St. Mary'S- Detroit Lakes

LBN: St. Marys Regional Health Center
Essentia Health St. Mary'S- Detroit Lakes is an health care organization with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Rural, Suppliers / Durable Medical Equipment & Medical Supplies. Hospitals / Rural is the primary health care specialty. St. Marys Regional Health Center can be contacted via phone (218) 847-5611, or through Hurley, Alan via phone (701) 364-7667.

Contact Information

Primary practice address
1027 Washington Ave Detroit Lakes MN 56501
Fax: (218) 847-0881
Website:
Authorized official contact:
Name: Hurley, Alan

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 327830 Minnesota
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1679561088
LBN Legal business name St. Marys Regional Health Center
DBA Doing business as Essentia Health St. Mary'S- Detroit Lakes
Authorized official Hurley, Alan
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 10th, 2005
Last updated Mar 1st, 2024 - about 2 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 1679561088 NPPES
Minnesota MEDICAID 174545000

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