Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Essentia Health Moose Lake

Organization Critical Access Hospital Clinic/Center · NPI 1275102048

Essentia Health Moose Lake is a Critical Access Hospital Clinic/Center in Moose Lake, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

4572 County Road 61
Moose Lake, MN 55767-9401
Phone: (218) 485-2105
Fax: (218) 485-2106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital Clinic/Center (primary) Taxonomy 261QC0050X

Record details

NPI number1275102048
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEssentia Health
Authorized official Kevin Boren — Vp Of Finance · (218) 786-1009
Other names Essentia Health Moose Lake Clinic; Essentia Health Moose Lake Clinic
NPI enumeratedJune 24, 2021
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address4572 County Road 61, Moose Lake, MN 55767-9401