BRAINERD MEDICAL CENTER INC NPI 1053342329

NPI Details

BRAINERD MEDICAL CENTER INC is a clinic pharmacy pharmacy in Brainerd, MN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. BRAINERD MEDICAL CENTER INC NPI is 1053342329. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Brainerd Pharmacy.

The provider's business location address is:

2024 S 6TH ST
BRAINERD, MN
ZIP 56401-529
Phone: (218) 829-7455
Fax: (218) 855-5205

The provider's authorized official is Michael Jon Larson .
The authorized official title is Coo and has the following contact phone number (218) 828-7656.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 9/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: