NPIMap

Organization Active NPI

Essentia Health Virginia, LLC

Doing business as Essentia Health Babbitt Clinic

  • Rural Health Clinic/Center
  • Babbitt, MN
National Provider Identifier
1326595646
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ESSENTIA HEALTH VIRGINIA, LLC
Doing business as
Essentia Health Babbitt Clinic
Practice address
71 South Dr
Babbitt, MN 55706-1232
Phone
(218) 827-2176
NPI assigned
Sep 2, 2016
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Samuel Stone
Title
Coo
Phone
(218) 749-9496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

71 South Dr
Babbitt, MN 55706-1232

Mailing address

71 South Dr
Babbitt, MN 55706-1232
Phone (218) 827-2176

Other names 1

  • Essentia Health Babbitt Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130306000467 MN Part B Supplier - Clinic/Group Practice 7810149002 Receives reassigned benefits from 193 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Babbitt, MN; Ely, MN; International Falls, MN; Virginia, MN

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Essentia Health Virginia LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1326595646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SOUTH DR",
            "city": "BABBITT",
            "state": "MN",
            "postal_code": "557061232",
            "telephone_number": "218-827-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SOUTH DR",
            "city": "BABBITT",
            "state": "MN",
            "postal_code": "557061232",
            "telephone_number": "218-827-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIA HEALTH VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "218-749-9496"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essentia Health Babbitt Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essentia Health Babbitt Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Babbitt, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.