The Duluth Clinic, LTD

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

THE DULUTH CLINIC, LTD

Doing business as

Duluth Clinic at Lakeview Medical Center Spooner Dialysis Unit

Practice address

819 Ash St
Spooner, WI 54801-1201

Phone

(715) 635-5303

NPI assigned

Apr 20, 2007

Last updated

Apr 9, 2010By 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

Michael C Metcalf

Title

Evp

Phone

(218) 786-2642

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Duluth Clinic at Lakeview Medical Center Spooner Dialysis Unit Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

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

• The Duluth Clinic, LTD

  dba Duluth Clinic at Fresenius Superior Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Superior, WI
  • NPI 1083889554

  O20031103000120

  Same enrollment
• The Duluth Clinic, LTD

  dba Essentia Health Ashland Clinic

  • Multi-Specialty Clinic/Center
  • Ashland, WI
  • NPI 1215974357

  O20031103000120

  Same enrollment
• The Duluth Clinic, LTD

  dba Superior Clinic

  • Anesthesiology Physician
  • Superior, WI
  • NPI 1285664995

  O20031103000120

  Same enrollment
• The Duluth Clinic, LTD

  dba Duluth Clinic at Fresenius Ashland Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ashland, WI
  • NPI 1619118759

  O20031103000120

  Same enrollment
• The Duluth Clinic, LTD

  dba Essentia Health Ashland Orthopaedics Clinic

  • Multi-Specialty Clinic/Center
  • Ashland, WI
  • NPI 1942434378

  O20031103000120

  Same enrollment
• The Duluth Clinic, LTD

  dba Essentia Health Duluth Clinic

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209

  O20031103000120

  Same enrollment

Part of

St Mary's Duluth Clinic Health System

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1710104658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011201",
            "telephone_number": "715-635-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011201",
            "telephone_number": "715-635-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DULUTH CLINIC, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S DULUTH CLINIC HEALTH SYSTEM",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "218-786-2642"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "52D0040177",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duluth Clinic at Lakeview Medical Center Spooner Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randy G Strickland, D.C.
• Joseph Stromsness, APRN, CNP
• Kati D Stumph
• Tabletop Recovery LLC
• Angela Kay Tellefson, PHARMD
• Deborah Thoennes, LPC
• Kathleen Ann Thom, R.N.
• Thomas Eric Herzog Inc (Indianhead Eye Clinic)
• Leslie D Thornburg, OD
• Erica M Tison

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Spooner, WI
• Providers in Spooner, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.