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St. Mary's Regional Health Center

St. Mary's Regional Health Center is a health care provider in Detroit Lakes, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 301 N Broadway, Pelican Rapids, MN 56572-4113, US
Practice Location Phone218-863-2000
Practice Location Fax
Legal Business NameST. MARY'S REGIONAL HEALTH CENTER
Other Organization NameESSENTIA HEALTH ST. MARY'S - PELICAN RAPIDS CLINIC
Other Organization Name TypeDoing Business As Name
NPI ?1265876023
Entity TypeOrganization
Enumeration Date ? Apr 24, 2013
Last Update Date ? May 19, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of St. Mary's Regional Health Center

SpecialtySpecializationLicenseLicense State
Family Medicine
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of St. Mary's Regional Health Center

Provider IdIssuer StateIssuer TypeIssuer
C06026MinnesotaMedicare Pin
243472MinnesotaMedicare Pin
892442000MinnesotaMedicaid

official-icon Authorized Official of St. Mary's Regional Health Center

An authorized official is an appointed official with the legal authority to make changes and/or updates to the St. Mary's Regional Health Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Peter J Jacobson
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number218-847-5611