Organization · Type 2 NPI

St. Mary's Regional Health Center

Family Medicine Physician · Lake Park, MN

NPI number 1548604309 Active

Practice location

1005 1st St
Lake Park, MN 56554-4311

Call (218) 238-5901 Map

Mailing address

1027 Washington Ave
Detroit Lakes, MN 56501-3409

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Lake Park

Dakota Clinic, Ltd.Family Medicine Physician Lake Park, MN NPI 1043261621

See all in Lake Park →

NPI record

NPI: 1548604309
Entity type: Organization (Type 2)
Issued: Apr 24, 2013
Last updated: Mar 1, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

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Essentia Health St. Mary's - Lake Park Clinic · doing business as
Essentia Health St. Mary's - Lake Park Clinic · doing business as

Authorized official

Alan Hurley
COO
(701) 364-7667

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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 1548604309

St. Mary's Regional Health Center's National Provider Identifier is 1548604309, issued on Apr 24, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lake Park, MN. The record was last updated on Mar 1, 2024.