NPIMap

The Duluth Clinic, LTD.

Organization Active NPI Community/Retail Pharmacy · Ely, MN

NPI 1689349359 · NPPES record last updated Feb 28, 2024

Key facts

NPI
1689349359
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
THE DULUTH CLINIC, LTD.
Practice address
1500 E Sheridan St Ste 100
Ely, MN 55731-1855
Phone
(218) 365-7957
Fax
(218) 365-7958
NPI assigned
Aug 13, 2021
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

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

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 34

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

View all 34

Member of 1

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

Practitioners 1,135

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,135

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Essentia Health Ely Pharmacy
1500 E Sheridan St, Ely, MN 55731-1855 · (218) 365-7957		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignment
Participating since Oct 24, 2022

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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…
O20220420001757 MN DME Supplier - Pharmacy 2567374283 Practice locations: Ely, MN

National Provider Directory

Tax ID family
Duluth Clinic LTD Wi (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

1500 E Sheridan St Ste 100
Ely, MN 55731-1855

Mailing address

204 Belknap St
Atn: Retail Pharmacy Services
Superior, WI 54880-2905
Phone (218) 786-4265

Other names

  • Essentia Health Ely Pharmacy Doing business as

Other providers in Ely, MN

All providers in Ely, MN · Community/Retail Pharmacy in Minnesota

Sources for this page

Verify at the official NPI Registry.