ESSENTIA HEALTH ST MARYS MEDICAL CENTER
NPI 1013933936
Clinic/Center - Emergency Care in Duluth, MN
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 24D2322783
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 04-24-2027
About ESSENTIA HEALTH ST MARYS MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Essentia Health St Marys Medical Center, a provider established in Duluth, Minnesota operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1013933936 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0002X with license number 331095 (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Essentia Health St Marys Medical Center. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)
- NPI
- 1013933936 Verify this NPI
- Provider Legal Name
- ST. MARY'S MEDICAL CENTER
- Other Organization Name
- ESSENTIA HEALTH ST MARYS MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 407 E 3RD ST DULUTH, MN 55805
- Location Phone
- (218) 786-4000
- Mailing Address
- 407 E 3RD ST DULUTH, MN 55805
- Mailing Phone
- (218) 786-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-14-2006
- Last Update Date
- 02-28-2024
- Code Navigator
Location Map
Secondary Locations
- 402 E 2nd St
Duluth, MN 55805
(218) 786-4000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
- License No.
- 331095
- License State
- MN
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2322783
- Facility Type
- Home Health Agency
- Certificate Effective Date
- April 25, 2025
- Certificate Expiration Date
- April 24, 2027
- Laboratory Director
- KELSI L. STEFFEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Essentia Health St Marys Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DULUTH, MN 55805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013933936, enumerated as an "organization" on July 14, 2006.
The provider is located at 407 E 3RD ST DULUTH, MN 55805 and the phone number is (218) 786-4000.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
