<Unavail>

LBN: The Duluth Clinic, Ltd
<Unavail> is an health care organization with primary practice located at 4621 E Superior St , Duluth MN 55804-2338. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. The Duluth Clinic, Ltd can be contacted via phone (218) 786-3550, or through Boren, Kevin via phone (218) 786-1009.

Contact Information

Primary practice address
4621 E Superior St Duluth MN 55804-2338
Phone: (218) 786-3550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boren, Kevin
Phone: (218) 786-1009

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1245278936
LBN Legal business name The Duluth Clinic, Ltd
DBA Doing business as <Unavail>
Authorized official Boren, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Feb 28th, 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 1245278936 NPPES
Minnesota MEDICAID 1245278936

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