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ESSENTIA HEALTH WEST DULUTH PHARMACY
NPI 1427164839
Pharmacy - Community/Retail Pharmacy in Duluth, MN

Active since August 21, 2006CLIA 24D0404078 · Waiver
4212 GRAND AVE, SUITE A, DULUTH, MN 55807(218) 786-3700(218) 786-3705 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Essentia Health West Duluth Pharmacy NPPES

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

ESSENTIA HEALTH WEST DULUTH PHARMACY (NPI 1427164839) is a healthcare organization registered as a community/retail pharmacy in Duluth, Minnesota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1427164839
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE DULUTH CLINIC LTD
Location Address4212 GRAND AVE, SUITE ADuluth, MN 55807-2737
Mailing Address4212 Grand Ave, Suite ADuluth, MN 55807-2737 · (218) 786-3700 · Fax (218) 786-3705
Phone(218) 786-3700
Fax(218) 786-3705
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009
Enumeration DateAugust 21, 2006
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1427164839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 261243
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4212 GRAND AVE, Duluth, MN 55807
Open in Google Maps ↗

Other Names 1

Doing Business AsEssentia Health West Duluth Pharmacy

Other Identifiers 4

Other24-16572MN · Ncpdp
Other573MN · The Duluth Clinic, Ltd Chain Code
Medicaid210558600MN
Medicaid33050700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 24D0404078

Essentia Health West Duluth Clinic · Duluth, MN
Active · expires Sep 30, 2027
CLIA Number24D0404078
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorKristin Collins
Laboratory Phone(218) 786-4962
Laboratory LocationEssentia Health West Duluth Clinic4212 Grand Avenue, Duluth, MN 55807
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
166 services164 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
154 services154 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Eh West Duluth Pharmacy carries, from the Medicare DMEPOS supplier directory.

Eh West Duluth Pharmacy

DMEPOS supplier · Duluth, MNOperated by The Duluth Clinic Ltd
✔

Accepts Medicare assignment

Eh West Duluth Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20346911
Medicare Participant SinceOctober 24, 2022
Supplier Location4212 Grand Ave Ste ADuluth, MN 55807
Phone(218) 786-3700
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

MEGAN ELIZABETH MARKES PA-C
Physician Assistant
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
DR. WENDELL RHETT BONNER MD
Family Medicine
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
DR. NICHOLAS DANIEL VELASQUEZ MD
Family Medicine
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
KRISTELJEI BAUTISTA BALTAZAR APRN, CNP
Nurse Practitioner
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
AMOS RESTAD APRN, CNP
Nurse Practitioner (Family)
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
ANTHONY C GUIDONE APRN, CNP
Nurse Practitioner
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
ERIKA K EHLERS APRN, CNP
Nurse Practitioner (Family)
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500
DR. KRISTIN DANIELLE HESLEP MD
Family Medicine
4212 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 786-3500

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 The Duluth Clinic Ltd's NPI number?

The NPI number for The Duluth Clinic Ltd is 1427164839. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Essentia Health West Duluth Pharmacy.

Where is The Duluth Clinic Ltd located?

The Duluth Clinic Ltd is located at 4212 Grand Ave Suite A, Duluth, MN 55807. The listed phone number is (218) 786-3700.

What is The Duluth Clinic Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does The Duluth Clinic Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eh West Duluth Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does The Duluth Clinic Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0404078) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Duluth Clinic Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list The Duluth Clinic Ltd 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 The Duluth Clinic Ltd was last updated on February 29, 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.