ST JOSEPH'S MEDICAL CENTER (NPI# 1265581029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265581029 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH'S MEDICAL CENTER |
| Practice Address |
523 N 3rd St Brainerd MN 56401-3054 |
| Practice Telephone | 2188287360 |
| Practice Fax Number | 2188287369 |
| Mailing Telephone | 2188287360 |
| Mailing Fax Number | 2188287369 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MR. DAVID L PILOT (CFO) |
| Authorized Official Telephone | 2188287642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
200543-0 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PHARMACY LICENSE | 200543-0 | 01 |
| MN | PHARMACY DEA NUMBER | AS3653260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
| 1952896144 | St Joseph's Medical Center | Clinic/Center | 2014 S 6th St, Brainerd, MN 56401-4529 | 2018-06-29 |
| 1174809792 | St Joseph's Medical Center | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JOSEPH'S MEDICAL CENTER | 127 South Broadway, Yonkers, NY 10701-4006 |
| Street Address |
523 N 3RD ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096496 | Richard F Galbraith | Chiropractor | 523 N 3rd St, Brainerd, MN 56401-3054 | 2005-07-08 |
| 1083211676 | Aaron John Stanley | Student in an Organized Health Care Education/Training Program | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-10-06 |
| 1427675909 | Amanda K Redning | Psychiatry & Neurology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-06-30 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1285284240 | Jennifer Lee Stange | Dietitian, Registered | 523 N 3rd St, Brainerd, MN 56401-3054 | 2019-09-12 |
| 1629585302 | Jacob S Brusehaver | Occupational Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2018-01-04 |
| 1669905337 | Tegan Nicole John | Hospitalist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2017-04-09 |
| 1366827750 | Cheryl Winch | Physical Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2015-07-27 |
| 1629450689 | Richard V Castle | Internal Medicine | 523 N 3rd St, Brainerd, MN 56401 | 2015-06-25 |
| 1417336173 | Leah Lempola | Nurse Practitioner | 523 N 3rd St, Medical Staff Office, Brainerd, MN 56401-3054 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902196504 | Northfield Hospital | Pharmacy | 2000 North Ave, Northfield, MN 55057-1498 | 2011-04-15 |
| 1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
| 1659533362 | Regions Hospital Inpatient Pharmacy | Pharmacy | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-25 |
| 1235304130 | Fairview Health Svc | Pharmacy | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2008-04-23 |
| 1083804876 | Mayo Clinic Hospital-rochester | Pharmacy | 201 W Center St, Rochester, MN 55902-3003 | 2007-07-27 |
| 1194915983 | Mayo Clinic Hospital-rochester | Pharmacy | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2007-07-27 |
| 1205054590 | Tri-county Hospital Pharmacy | Pharmacy | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-04-23 |
| 1063564144 | Sanford Medical Center Thief River Falls | Pharmacy | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2007-01-17 |
| 1386758373 | Gillette Children's Hospital | Pharmacy | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-08-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.