ESSENTIA HEALTH MOOSE LAKE
NPI 1275102048
Clinic/Center - Critical Access Hospital in Moose Lake, MN

Active since June 24, 2021
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-2105(218) 485-2106 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2023, Dec 9, 2021, Jul 7, 2021 and 1 more (4 updates tracked since 2021).

About Essentia Health Moose Lake NPPES

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

ESSENTIA HEALTH MOOSE LAKE (NPI 1275102048), doing business as Essentia Health Moose Lake Clinic, is a healthcare organization registered as a critical access hospital in Moose Lake, Minnesota and active in the NPI registry since June 2021. The organization lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1275102048
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameESSENTIA HEALTH MOOSE LAKE
Location Address4572 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address4572 County Road 61Moose Lake, MN 55767-9401 · (218) 485-2105 · Fax (218) 485-2170
Fax(218) 485-2106
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009
Enumeration DateJune 24, 2021
Last NPPES UpdateFebruary 27, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
NPI 1275102048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
Definition

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

4572 COUNTY ROAD 61, Moose Lake, MN 55767

Other Names 1

Doing Business AsEssentia Health Moose Lake Clinic

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital (Critical Access)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Nurse Anesthetist, Certified Registered
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Orthopaedic Surgery
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Nurse Practitioner (Family)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275102048, enumerated as an "organization" on June 24, 2021.

The provider is located at 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 and the phone number is (218) 485-2105.

Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan and. Please consult your insurance carrier or call the provider to verify.