NPI Code Detail JSON Logo

1952896144 NPI number — ST JOSEPH'S MEDICAL CENTER

NPI Number: 1952896144
Health Care Provider/Practitioner: ST JOSEPH'S MEDICAL CENTER

Information about “1952896144” NPI (ST JOSEPH'S MEDICAL CENTER) exists in 1952896144 in HTML format HTML  |  1952896144 in plain Text format TXT  |  1952896144 in PDF (Portable Document Format) PDF  |  1952896144 in an XML format XML  formats.

NPI Number : 1952896144 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952896144",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ESSENTIA HEALTH",
    "ParentOrgTIN": null,
    "OrgName": "ST JOSEPH'S MEDICAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2014 S 6TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRAINERD",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "56401-4529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "218-829-7812",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2014 S 6TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRAINERD",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "56401-4529",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-829-7812",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2018",
    "LastUpdateDate": "02/27/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOREN",
    "AuthorizedOfficialFirstName": "KEVIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP OF FINANCE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "218-786-1009",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.