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St. Mary's Regional Health Center
Durable Medical Equipment & Medical Supplies in Detroit Lakes, Minnesota
NPI 1104988229

St. Mary's Regional Health Center is a Durable Medical Equipment & Medical Supplies based in Detroit Lakes, MN. St. Mary's Regional Health Center practices in Detroit Lakes, MN. The NPI Number for St. Mary's Regional Health Center is 1104988229 and holds a License No. 332297 (Minnesota).

The current practice location address for St. Mary's Regional Health Center is 1040 Lincoln Ave, Detroit Lakes, MN and can be reached out via phone at 218-847-0820 and via fax at 218-844-0780.

Location: 1040 Lincoln Ave, Detroit Lakes, MN, 56501-3508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104988229
Provider Name
St. Mary's Regional Health Center
Credential
Provider Entity Type
Organization
Address
1040 Lincoln Ave, Detroit Lakes, MN, 56501-3508
Phone Number
218-847-0820
Fax Number
218-844-0780
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1A755MA 01 MN BLUE CROSS BLUE SHIELD MN
30393 01 MN NORTH DAKOTA MEDICAID
1041862 01 MN PREFERRED ONE
623840800 05 MN
7122625 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
1040 Lincoln Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3508
Phone Number
218-847-0820
Fax Number
218-844-0780
person
Provider Business Mailing Address Details
Address
1040 Lincoln Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3508
Phone Number
218-847-0820
Fax Number
218-844-0780
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
332297 (Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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