OrganizationActive
Essentia Health Moose Lake
NPI 1275102048 · Critical Access Hospital Clinic/Center · Moose Lake, MN
Provider details
- NPI number
- 1275102048
- Entity type
- Organization
- Primary specialty
- Critical Access Hospital Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health
- Authorized official
- Kevin Boren, Vp of Finance
Practice location
4572 County Road 61
Moose Lake, MN 55767-9401
Phone: (218) 485-2105
Fax: (218) 485-2106
Mailing address
4572 County Road 61
Moose Lake, MN 55767-9401
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.