Organization · Type 2 NPI

St. Mary's Regional Health Center

Rural Health Clinic/Center · Mahnomen, MN

NPI number 1750725586 Active

Practice location

117 N Main St
Mahnomen, MN 56557-4003

Call (218) 936-5616 Map

Mailing address

1027 Washington Ave
Detroit Lakes, MN 56501-3409

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Other rural health clinic/center providers in Mahnomen

Sanford Medical Center FargoRural Health Clinic/Center Mahnomen, MN NPI 1831131234

See all in Mahnomen →

NPI record

NPI: 1750725586
Entity type: Organization (Type 2)
Issued: Apr 23, 2013
Last updated: Mar 1, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

<unavail>
Essentia Health St. Mary's - Mahnomen Clinic · doing business as
Essentia Health St. Mary's - Mahnomen Clinic · doing business as

Authorized official

Alan Hurley
COO
(701) 364-7667

Verify this record

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.

Is this your record? How to update it.

About NPI 1750725586

St. Mary's Regional Health Center's National Provider Identifier is 1750725586, issued on Apr 23, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mahnomen, MN. The record was last updated on Mar 1, 2024.