ST JOSEPH'S MEDICAL CENTER (NPI# 1952896144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952896144 |
Entity Type | Organization |
Organization Name | ST JOSEPH'S MEDICAL CENTER |
Other Organization Name | ESSENTIA HEALTH ST JOSEPH'S-ORTHOPEDICS CLINIC |
Practice Address |
2014 S 6th St Brainerd MN 56401-4529 |
Practice Telephone | 2188297812 |
Mailing Telephone | 2188297812 |
Enumeration Date | 2018-06-29 |
Last Update Date | 2020-04-27 |
Authorized Official Name | MICHAEL LARSON (VP OF OPERATIONS) |
Authorized Official Telephone | 2188287656 |
Is Organization Subpart | Y |
Parent Organization Name | BRAINERD LAKES INTEGRATED HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ESSENTIA HEALTH ST JOSEPH'S-ORTHOPEDICS CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
1174809792 | St Joseph's Medical Center | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
1265581029 | St Joseph's Medical Center | Pharmacy | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-10 |
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 |
2014 S 6TH ST |
City | BRAINERD |
State | MN |
Zip Code | 56401-4529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528068186 | Christopher Michael Metz | Orthopaedic Surgery | 2014 S 6th St, Brainerd, MN 56401 | 2005-07-26 |
1992313514 | Taylor Marie Johnshoy | Physician Assistant | 2014 S 6th St, Brainerd, MN 56401-4529 | 2020-07-20 |
1154971828 | Megan Nicole Marlatt Kempf | Physician Assistant | 2014 S 6th St, Brainerd, MN 56401-4529 | 2019-09-16 |
1679040539 | Lisa Marie Sand | Physician Assistant | 2014 S 6th St, Brainerd, MN 56401-4529 | 2018-10-30 |
1821351503 | Ashley Ann Nord | Orthopaedic Surgery | 2014 S 6th St, Brainerd, MN 56401 | 2012-06-19 |
1720116023 | Northern Orthopedics Ltd | Durable Medical Equipment & Medical Supplies | 2014 S 6th St, Brainerd, MN 56401-4529 | 2007-03-01 |
1538206982 | Northern Orthopedics Ltd | Orthopaedic Surgery | 2014 S 6th St, Brainerd, MN 56401-4529 | 2007-02-01 |
1316011729 | Benjamin David Robertson | Orthopaedic Surgery | 2014 S 6th St, Brainerd, MN 56401-4529 | 2006-11-17 |
1659329407 | Raymond Charles Kieffer | Dentist | 2014 S 6th St, Brainerd, MN 56401-4529 | 2006-05-04 |
1760460901 | Tamara Muesing | Physician Assistant | 2014 S 6th St, Brainerd, MN 56401 | 2006-01-06 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396291993 | Brainerd Medical Center, Inc | Clinic/Center | 417 8th Ave Ne, Brainerd, MN 56401-2806 | 2016-09-01 |
1871533802 | North Central Cardiovascular Diagnostics, LLC | Clinic/Center | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-06-07 |
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1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
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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.