Provider Demographics
NPI:1306394101
Name:DEER RIVER HEALTHCARE CENTER INC
Entity Type:Organization
Organization Name:DEER RIVER HEALTHCARE CENTER INC
Other - Org Name:ESSENTIA HEATH DEER RIVER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO REGIONAL HOSPITALS
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-246-3047
Mailing Address - Street 1:115 10TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:DEER RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:56636-8795
Mailing Address - Country:US
Mailing Address - Phone:218-246-8275
Mailing Address - Fax:
Practice Address - Street 1:115 10TH AVE NE
Practice Address - Street 2:
Practice Address - City:DEER RIVER
Practice Address - State:MN
Practice Address - Zip Code:56636-8795
Practice Address - Country:US
Practice Address - Phone:218-246-8275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST MARY'S DULUTH CLINIC HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health