ST. JOSEPH'S MEDICAL CENTER NPI 1821245614

NPI Information

ST. JOSEPH'S MEDICAL CENTER is a primary care clinic center in Hackensack, MN. ST. JOSEPH'S MEDICAL CENTER NPI is 1821245614. 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
Fax: (218) 675-5048

The provider's authorized official is Kevin Boren .
The authorized official title is Vp Of Finance and has the following contact phone number (218) 786-1009.

The CLIA number assigned to this NPI record is 24D1088668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2008 and was last updated on 2/27/2024.

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:

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