# ST. JOSEPH'S MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ESSENTIA HEALTH
- **Other names:** St. Joseph's Medical Center Anesthesia Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336465038
- **Legal business name:** ESSENTIA HEALTH
- **Authorized official:** KEVIN BOREN (VP OF FINANCE)
- **Authorized official phone:** (218) 786-1009

## Contact information

- **Practice address:** 523 N 3RD ST, BRAINERD, MN 56401-3054
- **Practice address phone:** (218) 829-2861
- **Practice address fax:** (218) 828-3103
- **Mailing address:** 14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
- **Mailing address phone:** (763) 559-3779
- **Mailing address fax:** (763) 559-3791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 347060 | MN | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | 347060 | MN | — |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 02/26/2024