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Smdc Medical Center

Adolescent and Children Mental Health Clinic/Center in Duluth, MN · enumerated 2012 · authorized official Kevin Boren, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235488438

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Registry record

Entity type Organization (Type 2)
Legal business name Smdc Medical Center
Other name <Unavail>
Parent organization Essentia Health
Practice address 615 Pecan Ave, Duluth, MN, 55811
Phone (218) 355-2100
Fax (218) 355-2105
Enumeration date Sep 4, 2012
Last updated in NPPES Feb 27, 2024

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kevin Boren
Title Cfo
Phone (218) 786-1009

Other identifiers

Identifier Type State Issuer
1033153895 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Smdc Medical Center?
The NPI for Smdc Medical Center is 1235488438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Smdc Medical Center?
NPPES lists Kevin Boren (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-27.