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ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC
NPI 1275977928
Family Medicine in Frazee, MN

Active since April 24, 2013CLIA 24D2066793 · Waiver
300 MAIN AVE E, FRAZEE, MN 56544(218) 334-7255 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, May 17, 2019 (2 updates tracked since 2019).

About Essentia Health St. Mary's - Frazee Clinic NPPES

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

ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC (NPI 1275977928) is a healthcare organization registered as a family medicine in Frazee, Minnesota and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Tanner Goodrich, President, as its authorized official.

NPPES Registry Identity

NPI1275977928
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. MARY'S REGIONAL HEALTH CENTER
Location Address300 MAIN AVE EFrazee, MN 56544
Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 334-7255
Phone(218) 334-7255
Organization SubpartYes
Authorized OfficialTanner GoodrichPresident · (218) 847-5611
Enumeration DateApril 24, 2013
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1275977928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 MAIN AVE E, Frazee, MN 56544
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Other Names 1

Doing Business AsEssentia Health St. Mary's - Frazee Clinic

Other Identifiers 1

Medicaid892442000MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2066793

Essentia Health St Mary's - Frazee Clinic · Frazee, MN
Active · expires Oct 2, 2027
CLIA Number24D2066793
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorAaron W. Sykes
Laboratory Phone(701) 364-8714
Laboratory LocationEssentia Health St Mary's - Frazee Clinic300 Main Ave East, Frazee, MN 56544
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 St. Mary's Regional Health Center's NPI number?

The NPI number for St. Mary's Regional Health Center is 1275977928. It was assigned to this organization in the NPPES registry on April 24, 2013. The provider is doing business as Essentia Health St. Mary's - Frazee Clinic.

Where is St. Mary's Regional Health Center located?

St. Mary's Regional Health Center is located at 300 Main Ave E, Frazee, MN 56544. The listed phone number is (218) 334-7255.

What is St. Mary's Regional Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does St. Mary's Regional Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2066793) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Mary's Regional Health Center was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.