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ESSENTIA HEALTH DULUTH-AMBERWING CLINIC
NPI 1235488438
Clinic/Center - Adolescent and Children Mental Health in Duluth, MN

Active since September 04, 2012
615 PECAN AVE, DULUTH, MN 55811(218) 355-2100(218) 355-2105 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2018, Apr 20, 2018 (2 updates tracked since 2018).

About Essentia Health Duluth-amberwing Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH DULUTH-AMBERWING CLINIC (NPI 1235488438) is a healthcare organization registered as an adolescent and children mental health in Duluth, Minnesota and active in the NPI registry since September 2012. The organization lists Kevin Boren, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235488438
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSMDC MEDICAL CENTER
Location Address615 PECAN AVEDuluth, MN 55811
Mailing Address615 Pecan AveDuluth, MN 55811 · (218) 355-2100 · Fax (218) 355-2105
Phone(218) 355-2100
Fax(218) 355-2105
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenCfo · (218) 786-1009
Enumeration DateSeptember 4, 2012
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1235488438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
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.
615 PECAN AVE, Duluth, MN 55811
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Other Names 1

Doing Business AsEssentia Health Duluth-amberwing Clinic

Other Identifiers 1

Medicaid1033153895MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan, Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA CAHILL BUCK LGSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
BENJAMIN DOUGLAS HUSTEDT LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
MS. JESSICA MARIE PODPESKAR LICSW
Social Worker
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
MS. AMANDA BETH BAUMGARTNER LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
EILEEN HUGGINS LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
MS. TAYLOR ANN EROLA LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 786-8364
SIGURD HALLER LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
ALYSSA DYE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smdc Medical Center's NPI number?

The NPI number for Smdc Medical Center is 1235488438. It was assigned to this organization in the NPPES registry on September 4, 2012. The provider is doing business as Essentia Health Duluth-Amberwing Clinic.

Where is Smdc Medical Center located?

Smdc Medical Center is located at 615 Pecan Ave, Duluth, MN 55811. The listed phone number is (218) 355-2100.

What is Smdc Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Smdc Medical Center accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Smdc Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smdc Medical Center was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.