Provider Demographics
NPI:1710064779
Name:UNIV OF MN DULUTH HEALTH SERVICES
Entity Type:Organization
Organization Name:UNIV OF MN DULUTH HEALTH SERVICES
Other - Org Name:UMD HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYLEEN
Authorized Official - Middle Name:VICKI
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-726-8299
Mailing Address - Street 1:615 NIAGARA CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-3065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:218-726-6132
Practice Address - Street 1:615 NIAGARA CT
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812-3065
Practice Address - Country:US
Practice Address - Phone:218-726-8155
Practice Address - Fax:218-726-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health