Organization
ST JOSEPH'S AREA HEALTH SERVICES
Active
Other names
CHI ST. JOSEPH'S HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BEN KOPPELMAN (CEO/PRESIDENT)
(218) 616-3500
Entity
Organization
Contact information
Practice address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 616-3700
(218) 616-3737
Mailing address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 616-3700
(218) 616-3737
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE9455
RR MEDICARE
MN
Enumeration date
07/28/2016
Last updated
08/15/2024
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