Organization
ST JOSEPH'S AREA HEALTH SERVICES
Active
Organization
ST JOSEPH'S AREA HEALTH SERVICES
Active
Other names
St Joseph's Care Essentials
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SCHMIDT (VICE PRESIDENT OF FINANCE)
(218) 732-4525
Entity
Organization
Contact information
Practice address
1004 FIRST ST W, PARK RAPIDS, MN 56470-9502
(218) 237-5760
(218) 237-5763
Mailing address
1004 FIRST ST W, PARK RAPIDS, MN 56470-9502
(218) 237-5760
(218) 237-5763
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
331706
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01029751
PREFERRED ONE
—
01
—
103609JO
BLUE CROSS BLUE SHIELD
MN
01
—
82-00505
MEDICA
—
Enumeration date
12/14/2006
Last updated
08/22/2020
Update your record
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