DULUTH FAMILY MEDICINE CLINIC
NPI 1972585867
Family Medicine in Duluth, MN

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since November 16, 2005CLIA 24D0403975 · Accreditation

330 N 8TH AVE E, DULUTH, MN 55805(218) 723-1112(218) 529-9120 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Duluth Family Medicine Clinic NPPES

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

DULUTH FAMILY MEDICINE CLINIC (NPI 1972585867) is a healthcare organization registered as a family medicine in Duluth, Minnesota and active in the NPI registry since November 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Shailendra Prasad, Board Chair, as its authorized official.

NPPES Registry Identity

NPI1972585867

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDULUTH GRADUATE MEDICAL EDUCATION COUNCIL INC

Location Address330 N 8TH AVE EDuluth, MN 55805-2024

Mailing Address330 N 8th Ave EDuluth, MN 55805-2024 · (218) 723-1112 · Fax (218) 529-9120

Phone(218) 723-1112

Fax(218) 529-9120

Organization SubpartNo

Authorized OfficialShailendra PrasadBoard Chair · (612) 624-7629

Enumeration DateNovember 16, 2005

Last NPPES UpdateMay 24, 2023

NPPES CertifiedMay 24, 2023

✔ NPI 1972585867 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.

330 N 8TH AVE E, Duluth, MN 55805

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Other Names 1

Doing Business AsDuluth Family Medicine Clinic

Other Identifiers 3

Medicaid32674900WI

Medicaid647010600MN

Other69226FAMN · Bcbsmn

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, Security 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 Accreditation 24D0403975

Duluth Family Medicine Clinic · Duluth, MN

Active · expires Dec 22, 2027

CLIA Number24D0403975

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorSandra Mattson

Laboratory Phone(218) 529-9118

Laboratory LocationDuluth Family Medicine Clinic330 North Eighth Avenue East, Duluth, MN 55805

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

ROGER K. WAAGE M.D.

Family Medicine