Provider Type Icon

ST. JOSEPH'S MEDICAL CENTER NPI 1083910699


NPI Information

NPI: 1083910699
Provider Name: ST. JOSEPH'S MEDICAL CENTER

Doing Business As: ESSENTIA HEALTH ST. JOSEPH'S - HACKENSACK CLINIC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
110 3RD ST. S
HACKENSACK, MN
ZIP 56452
Phone: (218) 675-5044
Get Directions

ST. JOSEPH'S MEDICAL CENTER is a non pharmacy dispensing site in Hackensack, MN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ST. JOSEPH'S MEDICAL CENTER NPI is 1083910699. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health St. Joseph's - Hackensack Clinic.

The provider's business location address is:

110 3RD ST. S
HACKENSACK, MN
ZIP 56452-485
Phone: (218) 675-5044

The provider's authorized official is Jani Wiebolt .
The authorized official title is President and has the following contact phone number (218) 828-8764.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 1/28/2011.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.