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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