St. Joseph's Medical Center
NPI #1730134891 in Pequot Lakes, Minnesota
Provider Information
- NPI Number
- 1730134891
- Entity Type
- Organization
- Organization Name
- St. Joseph's Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ESSENTIA HEALTH
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 24, 2006
- Last Updated
- Feb 27, 2024
Practice Location
- Address
- 4317 W WOODMAN ST
- City
- Pequot Lakes
- State
- Minnesota
- ZIP Code
- 56472-3473
- Phone
- (218) 568-4416
Authorized Official
- Name
- KEVIN BOREN
- Title
- VP OF FINANCE
- Phone
- (218) 786-1009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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