Healthcare Provider Details

I. General information

NPI: 1700199304
Provider Name (Legal Business Name): COLLEGE OF ST. BENEDICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 COLLEGE AVE S LOTTIE HALL
SAINT JOSEPH MN
56374-2001
US

IV. Provider business mailing address

37 COLLEGE AVE S CSB HEALTH SERVICES
SAINT JOSEPH MN
56374-2001
US

V. Phone/Fax

Practice location:
  • Phone: 320-363-5041
  • Fax: 320-363-6396
Mailing address:
  • Phone: 320-363-5605
  • Fax: 320-363-6396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. EMILY RATH
Title or Position: ASSISTANT DIRECTOR
Credential: RN, CNP
Phone: 320-363-5041