NPIMap

Organization Active NPI

Univ of MN Duluth Health Services

  • Student Health Clinic/Center
  • Duluth, MN
National Provider Identifier
1710064779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIV OF MN DULUTH HEALTH SERVICES
Practice address
615 Niagara CT
Duluth, MN 55812-3065
Phone
(218) 726-8155
Fax
(218) 726-6132
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joyleen Vicki Schneider
Title
Administrative Director
Phone
(218) 726-8299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

615 Niagara CT
Duluth, MN 55812-3065

Mailing address

615 Niagara CT
Duluth, MN 55812-3065

Other names 1

  • UMD Health Services Other name

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
24D0040942Umd Health Services Laboratory615 Niagara CT, Duluth, MN 55812ComplianceAug 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
University of Minnesota33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

615 Niagara Ct
Duluth, MN 55812
Phone (218) 726-8155

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710064779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NIAGARA CT",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123065",
            "fax_number": "218-726-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NIAGARA CT",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123065",
            "telephone_number": "218-726-8155",
            "fax_number": "218-726-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV OF MN DULUTH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JOYLEEN",
        "authorized_official_middle_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "218-726-8299"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMD Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.