NPIMap

Organization Active NPI

Pine Medical Center

  • Rural Health Clinic/Center
  • Hinckley, MN
National Provider Identifier
1750210308
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PINE MEDICAL CENTER
Practice address
45 Lady Luck Dr
Hinckley, MN 55037-6419
Phone
(320) 279-8600
Fax
(320) 279-8601
NPI assigned
May 18, 2026
Organization subpart
Yes
Parent organization
ESSENTIA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Kevin Boren
Title
VP of Finance
Phone
(218) 786-1009

Specialties & licenses 1

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

Addresses

Primary practice location

45 Lady Luck Dr
Hinckley, MN 55037-6419

Mailing address

45 Lady Luck Dr
Hinckley, MN 55037-6419
Phone (320) 279-8600

Other names 1

  • Essentia Health Hinckley Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pine Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1750210308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LADY LUCK DR",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550376419",
            "telephone_number": "320-279-8600",
            "fax_number": "320-279-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LADY LUCK DR",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550376419",
            "telephone_number": "320-279-8600",
            "fax_number": "320-279-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIA HEALTH",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "218-786-1009"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essentia Health Hinckley Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinckley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.