Organization · Type 2 NPI

SMDC Medical Center

Adolescent and Children Mental Health Clinic/Center · Duluth, MN

NPI number 1235488438 Active

Practice location

615 Pecan Ave
Duluth, MN 55811

Fax (218) 355-2105

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

10 other providers at this address

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NPI record

NPI: 1235488438
Entity type: Organization (Type 2)
Issued: Sep 4, 2012
Last updated: Feb 27, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

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Essentia Health Duluth-Amberwing Clinic · doing business as
Essentia Health Duluth-Amberwing Clinic · doing business as

Authorized official

Kevin Boren
CFO
(218) 786-1009

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235488438

SMDC Medical Center's National Provider Identifier is 1235488438, issued on Sep 4, 2012. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Duluth, MN. The record was last updated on Feb 27, 2024.