Organization
ORDER OF ST. BENEDICT
Active
Organization
ORDER OF ST. BENEDICT
Active
Other names
St. John's University Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN JOHANNA HAEG PA-C (HEALTH CENTER MANAGER)
(320) 363-3142
Entity
Organization
Contact information
Practice address
112 ABBEY RD, COLLEGEVILLE, MN 56321-7777
(320) 363-3142
(320) 363-3124
Mailing address
112 ABBEY RD, COLLEGEVILLE, MN 56321-7777
(320) 363-3142
(320) 363-3124
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55326JO
BCBS
MN
Enumeration date
06/23/2005
Last updated
02/14/2008
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