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

NPI Status: Active since June 24, 2021

Contact Information

4572 COUNTY ROAD 61
MOOSE LAKE, MN
ZIP 55767
Phone: (218) 485-2105
Fax: (218) 485-2106

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  • Organization
  • Clinic/Center
  • Critical Access Hospital
  • Accepts Insurance

About ESSENTIA HEALTH MOOSE LAKE

This page provides the complete NPI Profile along with additional information for Essentia Health Moose Lake, a provider established in Moose Lake, Minnesota operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1275102048 assigned on June 2021. The practitioner's primary taxonomy code is 261QC0050X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is Kevin Boren (Vp Of Finance)

NPI
1275102048
Provider Legal Name
ESSENTIA HEALTH MOOSE LAKE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767
Location Phone
(218) 485-2105
Location Fax
(218) 485-2106
Mailing Address
4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767
Mailing Phone
(218) 485-2105
Mailing Fax
(218) 485-2106
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-24-2021
Last Update Date
02-27-2026
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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 Critical Access Hospital

Taxonomy Code
261QC0050X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - EPO
  • Select $6,000 - 40% - EPO
  • Select $7,500 - EPO
  • Select $7,500 HDHP - EPO
  • Select $9,500 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN BOREN

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(218) 786-1009

Reviews for ESSENTIA HEALTH MOOSE LAKE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275102048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 2 + 0 + 4 + 0 + 8 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1275102048.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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
Speech-Language Pathologist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Pharmacist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Physical Medicine & Rehabilitation
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Surgery
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Surgery
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Nurse Practitioner (Family)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Registered Nurse (Maternal Newborn)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
General Acute Care Hospital (Critical Access)
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.