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
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