Essentia Health Virginia, LLC

NPI #1962440362 in Ely, Minnesota

Provider Information

NPI Number: 1962440362
Entity Type: Organization
Organization Name: Essentia Health Virginia, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SMDC HEALTH SYSTEM
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Jun 4, 2006
Last Updated: Dec 13, 2016

Practice Location

Address: 300 W CONAN ST
City: Ely
State: Minnesota
ZIP Code: 55731-1145
Phone: (218) 365-7900

Authorized Official

Name: DANIEL NIKCEVICH
Title: PRESIDENT
Phone: (218) 786-2628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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