ST JOSEPH'S MEDICAL CENTER


Address: 2014 S 6th St, Brainerd, MN 56401-4529
Phone: 2188297812

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ESSENTIA HEALTH ST JOSEPH'S-ORTHOPEDICS CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ST JOSEPH'S MEDICAL CENTER 127 South Broadway, Yonkers, NY 10701-4006

Office Location

Street Address 2014 S 6TH ST
City BRAINERD
State MN
Zip Code 56401-4529

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

Search similar providers

City BRAINERD
Zip Code 56401

Improve Information

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Dataset Information

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.

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