Organization · Type 2 NPI

ST Mary's Regional Health Center

Rural Health Clinic/Center · Frazee, MN

NPI number 1902364482 Active

Practice location

300 E Main Ave
Frazee, MN 56544-4504

Call (218) 334-7255 Map

Fax (218) 334-4068

Mailing address

1702 University Dr S, Medical Staff Services-Ssc
Fargo, ND 58103-4940

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

NPI record

NPI: 1902364482
Entity type: Organization (Type 2)
Issued: Mar 4, 2019
Last updated: Mar 1, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

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

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About NPI 1902364482

ST Mary's Regional Health Center's National Provider Identifier is 1902364482, issued on Mar 4, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Frazee, MN. The record was last updated on Mar 1, 2024.