Smdc Medical Center
NPI 1235488438 · Adolescent and Children Mental Health Clinic/Center · Duluth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Smdc Medical Center is a Adolescent and Children Mental Health Clinic/Center organization in Duluth, MN (NPI 1235488438).
Provider details
- NPI number
- 1235488438
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Cfo(218) 786-1009
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Essentia Health Duluth-Amberwing Clinic
- Doing business as
- Essentia Health Duluth-Amberwing Clinic
Registry dates
- Enumerated
- 2012-09-04
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Frequently asked questions
- What is Smdc Medical Center's NPI number?
- Smdc Medical Center's National Provider Identifier (NPI) is 1235488438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smdc Medical Center?
- Smdc Medical Center is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Smdc Medical Center located?
- Smdc Medical Center's practice location on file with NPPES is 615 Pecan Ave, Duluth, MN 55811.
- What is Smdc Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Smdc Medical Center is (218) 355-2100.
- Does Smdc Medical Center accept Medicare?
- Smdc Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Smdc Medical Center?
- The authorized official listed on Smdc Medical Center's NPPES record is Kevin Boren, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smdc Medical Center's NPI active?
- Yes — Smdc Medical Center's NPI (1235488438) is active in the NPPES registry as of the last update on 2024-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.