Essentia Health Deer River is an authorized DME supplier for medicare equipments and products.
Essentia Health Deer River is a Critical Access in Deer River, Minnesota. This pharmacy is owned and operated by Deer River Healthcare Center, Inc.. This organization is also known as sub part of St. Mary's Duluth Clinic Health System. It is located at 115 10th Ave Ne, Deer River and it's customer support contact number is 218-246-2900. The authorized person of Essentia Health Deer River is Kevin Boren who is Cfo of the pharmacy and his contact number is 218-786-1009. Active license number of Essentia Health Deer River is 331194 for Critical Access in Minnesota. Essentia Health Deer River accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Essentia Health Deer River is definition to come.
Pharmacy Details:
Essentia Health Deer River type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Essentia Health Deer River
Type:
Critical Access
Location:
115 10th Ave Ne, Deer River, Minnesota, 56636-8795
Phone:
218-246-2900
Fax:
218-246-3013
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kevin Boren
Position:
Cfo
Contact Number:
218-786-1009
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1225049018
Parent Organization:
St. Mary's Duluth Clinic Health System
NPI Enumeration Date:
10 Aug, 2006
NPI Last Update On:
07 Apr, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Essentia Health Deer River are as mentioned below.
Specialization
License Number
State
Status
Critical Access
331194
Minnesota
Primary
Adult Day Care
800862-1-ADC
Minnesota
Secondary
Assisted Living Facility
333123
Minnesota
Secondary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
204876-9
Minnesota
Secondary
Land Transport
Secondary
Bus
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5025365
Other
Minnesota
Medica
1604HCO
Other
Minnesota
Blue Cross
1021626
Other
Minnesota
Preferred One
1225049018
Medicaid
Minnesota
300367
Other
Minnesota
Ucare
Medicare Enrollment:
Essentia Health Deer River is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1850388448
O20040427000428
Deer River Healthcare Center Inc
PART B SUPPLIER - CLINIC/GROUP PRACTICE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
115 10th Ave Ne, Deer River, Minnesota
Zip:
56636-8795
Phone Number:
218-246-2900
Fax Number:
218-246-3013
Patients can reach Essentia Health Deer River at 115 10th Ave Ne, Deer River, Minnesota or can call on customer care at 218-246-2900.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.