| St. Joseph's Medical Center | |
|
523 N 3rd St Brainerd MN 56401-3054 | |
| (218) 828-7437 | |
| (218) 828-7469 |
| Full Name | St. Joseph's Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 523 N 3rd St, Brainerd, Minnesota |
| Authorized Official Name and Position | David L Pilot (CFO) |
| Authorized Official Contact | 2188287642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Medical Center 523 N 3rd St Brainerd MN 56401-3054 Ph: (218) 828-7437 | St. Joseph's Medical Center 523 N 3rd St Brainerd MN 56401-3054 Ph: (218) 828-7437 |
| NPI Number | 1841307865 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841307865 | NPI | - | NPPES |
| 736045200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 330736 (Minnesota) | Primary |
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