St. Mary's Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

355203 Issued in MN

Legal business name

ST. MARY'S MEDICAL CENTER

Doing business as

Benet Hall

Practice address

1001 Kenwood Avenue
Duluth, MN 55811-2370

Phone

(218) 723-6564

Fax

(218) 723-6548

NPI assigned

Nov 10, 2011

Last updated

Oct 4, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. MARY'S DULUTH CLINIC HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

James Garvey

Title

Evp Hospital Operations

Phone

(218) 786-4878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benet Hall Doing business as

Tax ID family

Emergency Physicians GR3 organizations share this tax ID, including this one

Part of

St Mary's Duluth Clinic Health System

Other organizations with this tax ID 2

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

• St Marys Medical Center

  dba Essentia Health St Marys Medical Center (Ortho Bundle)

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1235661539
  NPD tax ID
• St. Mary's Medical Center

  dba Essentia Health St. Mary's Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Duluth, MN
  • NPI 1225089634
  NPD tax ID

Locations

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1144507708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KENWOOD AVENUE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112370",
            "telephone_number": "218-723-6564",
            "fax_number": "218-723-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KENWOOD AVENUE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112370",
            "telephone_number": "218-723-6564",
            "fax_number": "218-723-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S DULUTH CLINIC HEALTH SYSTEM",
        "enumeration_date": "2011-11-10",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EVP HOSPITAL OPERATIONS",
        "authorized_official_telephone_number": "218-786-4878"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "355203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA - ELDERLY WAIVER",
            "identifier": "0049-0050996",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benet Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke's Hospital of Duluth (Aspirus St Lukes Clinic Duluth Interventional Pain Management)
• St. Luke's Hospital of Duluth (Aspirus St Lukes Clinic Duluth Pulmonary Medicine)
• St. Mary's Duluth Clinic Health System (SMDC Clinical Laboratory)
• St. Mary's Medical Center (Essentia Health St Marys Medical Center)
• St. Mary's Medical Center (St. Mary's Home Health)
• St. Mary's Medical Center (Essentia Health St. Mary's Hospice & Palliative Care)
• St. Mary's Medical Center (Essentia Health St. Mary's Heart and Vascular Center)
• St. Marys Medical Center (SMMC Life Flight)
• Jennifer Ann St.Arnold, RN
• Jason Andrew Stahl, PSY.D.

• Home Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.