Organization
ST. JOSEPH'S MEDICAL CENTER
Active
Organization
ST. JOSEPH'S MEDICAL CENTER
Active
Parent organization
ST. JOSEPH'S MEDICAL CENTER
Other names
Essentia Health St. Joseph's - Hackensack Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH'S MEDICAL CENTER
Authorized official
JANI WIEBOLT (PRESIDENT)
(218) 828-8764
Entity
Organization
Contact information
Practice address
110 3RD ST. S, HACKENSACK, MN 56452-0485
(218) 675-5044
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up