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Organization
ST JOSEPH'S MEDICAL CENTER
Active
Organization
ST JOSEPH'S MEDICAL CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Lakes Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-6736
(218) 822-3758
Mailing address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-6736
(218) 822-3758
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
02/27/2024
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