ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC – NPI #1275977928
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC is a provider located in FRAZEE, MN. NPPES has assigned the NPI number 1275977928 to ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC on April 24, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC” is a dba name, the actual legal business name for this organization is ST. MARY'S REGIONAL HEALTH CENTER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Oct 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC below.

NPI Profile for
ST. MARY'S REGIONAL HEALTH CENTER

NPI Number
1275977928
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. MARY'S REGIONAL HEALTH CENTER
Doing Business As (dba): ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC
Primary location
300 MAIN AVE E
FRAZEE, MN 56544
Phone: (218) 334-7255 Fax:
Mailing address
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone: (218) 334-7255 Fax:
Organization Subpart
Yes - ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC is subpart of another organization.
Authorized Official
TANNER GOODRICH
PRESIDENT
Phone: (218) 847-5611
Updated
Certification Date
Oct 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ESSENTIA HEALTH ST. MARY'S - FRAZEE CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN892442000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.