Essentia Health Moose Lake
NPI 1275102048 · Critical Access Hospital Clinic/Center · Moose Lake, MN
Essentia Health Moose Lake is a Critical Access Hospital Clinic/Center organization in Moose Lake, MN (NPI 1275102048).
Provider details
- NPI number
- 1275102048
- Entity type
- Organization
- Primary specialty
- Critical Access Hospital Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Vp of Finance(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
5 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 Moose Lake Clinic
- Doing business as
- Essentia Health Moose Lake Clinic
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Essentia Health Moose Lake's NPI number?
- Essentia Health Moose Lake's National Provider Identifier (NPI) is 1275102048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Essentia Health Moose Lake?
- Essentia Health Moose Lake is classified in the NPPES registry as Critical Access Hospital Clinic/Center (Ambulatory Health Care Facilities).
- Where is Essentia Health Moose Lake located?
- Essentia Health Moose Lake's practice location on file with NPPES is 4572 County Road 61, Moose Lake, MN 55767-9401.
- What is Essentia Health Moose Lake's phone number?
- The practice phone number listed in the NPPES registry for Essentia Health Moose Lake is (218) 485-2105.
- Who is the authorized official for Essentia Health Moose Lake?
- The authorized official listed on Essentia Health Moose Lake's NPPES record is Kevin Boren, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Essentia Health Moose Lake's NPI active?
- Yes — Essentia Health Moose Lake's NPI (1275102048) is active in the NPPES registry as of the last update on 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.