NPIMap

Organization Active NPI

St. Luke's Hospital of Duluth

Doing business as Aspirus St Lukes Mountain Iron Clinic

  • Family Medicine Physician
  • Virginia, MN
National Provider Identifier
1063464154
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST. LUKE'S HOSPITAL OF DULUTH
Doing business as
Aspirus St Lukes Mountain Iron Clinic
Aspirus St. Luke's Mountain Iron Clinic
Practice address
8373 Unity Drive
Virginia, MN 55792-4005
Phone
(218) 748-7480
NPI assigned
May 17, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8373 Unity Drive
Virginia, MN 55792-4005

Mailing address

8373 Unity Drive
Virginia, MN 55792-4005
Phone (218) 748-7480

Other names 2

  • Aspirus St Lukes Mountain Iron Clinic Doing business as
  • Aspirus St. Luke's Mountain Iron Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000212 MN Part B Supplier - Clinic/Group Practice 7113834839 Receives reassigned benefits from 584 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Grand Rapids, MN; Duluth, MN; Hibbing, MN; Moose Lake, MN; Proctor, MN; Silver Bay, MN; Two Harbors, MN; Virginia, MN…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0955358Aspirus Mountain Iron Clinic8373 Unity Drive, Virginia, MN 55792AccreditationFeb 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Hosp Assn of D49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

6351 E Superior St
Duluth, MN 55804
Phone (218) 249-4500

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1063464154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8373 UNITY DRIVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924005",
            "telephone_number": "218-748-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8373 UNITY DRIVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924005",
            "telephone_number": "218-748-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL OF DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2575"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus St Lukes Mountain Iron Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus St. Luke's Mountain Iron Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.