ESSENTIA HEALTH PROCTOR CLINIC
NPI 1902103831
Clinic/Center - Multi-Specialty in Proctor, MN

Active since February 11, 2011CLIA 24D0404091 · Waiver
211 S BOUNDARY AVE, PROCTOR, MN 55810(218) 624-4819 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Essentia Health Proctor Clinic NPPES

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

ESSENTIA HEALTH PROCTOR CLINIC (NPI 1902103831) is a healthcare organization registered as a multi-specialty in Proctor, Minnesota and active in the NPI registry since February 2011. 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

NPI1902103831
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTHE DULUTH CLINIC, LTD
Location Address211 S BOUNDARY AVEProctor, MN 55810-2306
Mailing Address211 S Boundary AveProctor, MN 55810-2306 · (218) 624-4819
Organization SubpartYesParent: Essentia Health
Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009
Enumeration DateFebruary 11, 2011
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1902103831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
211 S BOUNDARY AVE, Proctor, MN 55810

Other Names 1

Doing Business AsEssentia Health Proctor Clinic

Other Identifiers 1

Medicaid1902103831MN

Accepted 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 24D0404091

Essentia Health Proctor Clinic · Proctor, MN
Active · expires Sep 30, 2027
CLIA Number24D0404091
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorSandra Mattson
Laboratory Phone(218) 576-0448
Laboratory LocationEssentia Health Proctor Clinic211 S Boundary Ave, Proctor, MN 55810
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 20

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

Family Medicine
211 S BOUNDARY AVE
PROCTOR, MN 55810
Nurse Practitioner (Family)
211 S BOUNDARY AVE
PROCTOR, MN 55810
Clinic/Center (Radiology)
211 S BOUNDARY AVE
PROCTOR, MN 55810
Nurse Practitioner (Family)
211 S BOUNDARY AVE
PROCTOR, MN 55810
Clinical Medical Laboratory
211 S BOUNDARY AVE
PROCTOR, MN 55810
Nurse Practitioner (Family)
211 S BOUNDARY AVE
PROCTOR, MN 55810
Physical Therapist
211 S BOUNDARY AVE
PROCTOR, MN 55810
Nurse Practitioner (Family)
211 S BOUNDARY AVE
PROCTOR, MN 55810

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 1902103831. It was assigned to this organization in the NPPES registry on February 11, 2011. The provider is doing business as Essentia Health Proctor Clinic.

Where is The Duluth Clinic, Ltd located?

The Duluth Clinic, Ltd is located at 211 S Boundary Ave, Proctor, MN 55810. The listed phone number is (218) 624-4819.

What is The Duluth Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does The Duluth Clinic, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0404091) 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 HealthPartners, Medica, Sanford Health Plan and Security Health Plan 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 28, 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.