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Essentia Health Moose Lake

Critical Access Hospital Clinic/Center in Moose Lake, MN · enumerated 2021 · authorized official Kevin Boren, Vp of Finance.

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

National Provider Identifier

1275102048

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Registry record

Entity type Organization (Type 2)
Legal business name Essentia Health Moose Lake
Other name <Unavail>
Parent organization Essentia Health
Practice address 4572 County Road 61, Moose Lake, MN, 55767
Fax (218) 485-2106
Enumeration date Jun 24, 2021
Last updated in NPPES Feb 27, 2026

Taxonomy & classification

261QC0050X Critical Access Hospital Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kevin Boren
Title Vp of Finance

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 Essentia Health Moose Lake?
The NPI for Essentia Health Moose Lake is 1275102048, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Essentia Health Moose Lake?
NPPES lists Kevin Boren (Vp of Finance) 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 2026-02-27.