The Duluth Clinic, LTD.
Organization Active NPI Community/Retail Pharmacy · Hinckley, MN
NPI 1245081066 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1245081066
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- THE DULUTH CLINIC, LTD.
- Practice address
- 45 Lady Luck Dr Ste 110
Hinckley, MN 55037-6419 - Phone
- (320) 279-8610
- NPI assigned
- Mar 29, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- ESSENTIA HEALTH
Authorized official
- Name
- Kevin Boren
- Title
- VP of Finance
- Phone
- (218) 786-1009
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 34
Member of 1
Practitioners 1,838
-
Mohamed M. Abdihalim, M.D.
-
Brian Joseph Aebly, D.O.
-
Shelley Jean Aho, OT
-
Ahmad Al-Samaraee, M.D.
-
Mark Andrew Nelson Albee, LICSW
-
Stephanie L Alexander, APRN, CNP
-
Azhar T. Ali, MBBS
-
Jay Joseph Allen, M.D.
-
Mark J. Allen, M.D.
-
Bilal Alturkmani, M.D.
-
Kjerstin Lee Anderson Hoff, APRN, CRNA
-
Aleathea Rae Anderson, PA-C
-
Angie Marie Anderson, OTR/L
-
Corissa L Anderson, APRN, CNP
-
Kelly Jo Partello Anderson, APRN, CRNA
-
Kristen Lee Anderson, CNP
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Essentia Health Hinckley Pharmacy |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151103001283 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 2567374283 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Virginia, MN; Two Harbors, MN; Silver Bay, MN; International Falls, MN; Hinckley, MN; Hibbing, MN; Hermantown, MN; Grand Rapids, MN… |
| O20241112002059 | MN | DME Supplier - Pharmacy | 2567374283 | Practice locations: Hinckley, MN |
National Provider Directory
- Tax ID family
- Duluth Clinic LTD Wi
Locations (25 of 43)
45 North Dr
Babbitt, MN 55706
Phone (218) 365-7900
2009 London Rd
#200
Duluth, MN 55812
Phone (605) 490-5040
801 Baylis St
Duluth, MN 55811
Phone (218) 529-3400
314 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 722-1170
1001 Kenwood Ave
Duluth, MN 55811
Phone (218) 625-4826
4730 Matterhorn Cir
Duluth, MN 55811
Phone (218) 740-3433
1049 University Dr
Duluth, MN 55812
Phone (218) 726-8000
102 N 58th Ave W
Duluth, MN 55807
Phone (218) 628-2705
2650 Nopeming Rd
Duluth, MN 55810
Phone (218) 628-2381
4334 Haines Rd
Duluth, MN 55811
Phone (218) 726-2345
227 W 1st St
Duluth, MN 55802
Phone (218) 722-0053
222 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762
207 W Superior St
Ste 206
Duluth, MN 55802
Phone (218) 786-9909
1301 Miller Trunk Hwy
Ste 400
Duluth, MN 55811
Phone (218) 249-6839
314 W Superior St
Duluth, MN 55802
Phone (218) 722-4996
3111 Church Pl
Duluth, MN 55811
Phone (218) 727-8801
101 W 2nd St
Ste 109
Duluth, MN 55802
Phone (218) 727-3399
1500 E Sheridan St
#100
Ely, MN 55731
Phone (218) 365-1855
224 E Chapman St
Ely, MN 55731
Phone (218) 365-3151
513 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-2330
126 SE 1st Ave
Grand Rapids, MN 55744
Phone (218) 326-3401
923 Hale Lake Pointe
Grand Rapids, MN 55744
Phone (218) 322-4600
4855 W Arrowhead Rd
Ste A
Hermantown, MN 55811
Phone (218) 786-3540
5075 Miller Trunk Hwy
Hermantown, MN 55811
Phone (218) 727-7450
740 E 34TH St
Hibbing, MN 55746
Phone (218) 362-6670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
45 Lady Luck Dr Ste 110
Hinckley, MN 55037-6419
Mailing address
45 Lady Luck Dr Ste 110
Hinckley, MN 55037-6419
Phone (320) 279-8610
Other names
- Essentia Health Hinckley Pharmacy
Other providers in Hinckley, MN
- Pine Medical Center
- Plum Behavioral Health Services LLC
- Olivia Mae Rawlyk
- Corinne Annette Sjoberg
- Eric Stomberg
- Welia Health
- Brooke A Wiener
All providers in Hinckley, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.