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ESSENTIA HEALTH ST. MARY'S - MAHNOMEN CLINIC
NPI 1750725586
Clinic/Center - Rural Health in Mahnomen, MN

Active since April 23, 2013CLIA 24D2063648 · Waiver
117 N MAIN ST, MAHNOMEN, MN 56557(218) 936-5616 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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

ESSENTIA HEALTH ST. MARY'S - MAHNOMEN CLINIC (NPI 1750725586) is a healthcare organization registered as a rural health in Mahnomen, Minnesota and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1750725586
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. MARY'S REGIONAL HEALTH CENTER
Location Address117 N MAIN STMahnomen, MN 56557-4003
Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881
Phone(218) 936-5616
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateApril 23, 2013
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1750725586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
117 N MAIN ST, Mahnomen, MN 56557
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Other Names 1

Doing Business AsEssentia Health St. Mary's - Mahnomen 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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 24D2063648

Essentia Health St Mary's - Mahnomen Clinic · Mahnomen, MN
Active · expires Aug 6, 2027
CLIA Number24D2063648
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorAaron W. Sykes
Laboratory Phone(701) 364-8714
Laboratory LocationEssentia Health St Mary's - Mahnomen Clinic117 North Main Street, Mahnomen, MN 56557
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DAKOTA CLINIC, LTD.
Family Medicine
117 N MAIN ST
MAHNOMEN, MN 56557
Mahnomen County (218) 936-5616
ERIKA KAYE BECKETT NP
Nurse Practitioner (Family)
117 N MAIN ST
MAHNOMEN, MN 56557
Mahnomen County (218) 936-5616
SARAH A BEMENT PA-C
Physician Assistant
117 N MAIN ST
MAHNOMEN, MN 56557
Mahnomen County (218) 936-5616

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 1750725586. It was assigned to this organization in the NPPES registry on April 23, 2013. The provider is doing business as Essentia Health St. Mary's - Mahnomen Clinic.

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

St. Mary's Regional Health Center is located at 117 N Main St, Mahnomen, MN 56557. The listed phone number is (218) 936-5616.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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

Yes. A Certificate of Waiver (number 24D2063648) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Mary's Regional Health Center accept?

Health plans from Medica and Sanford Health Plan list St. Mary's Regional Health 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 St. Mary's Regional Health Center was last updated on March 1, 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.