Organization
ST. JOSEPH'S MEDICAL CENTER
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health St. Joseph's-Crosslake Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
35205 COUNTY ROAD 3, CROSSLAKE, MN 56442-4057
(218) 692-1010
(218) 692-1013
Mailing address
35205 COUNTY ROAD 3, CROSSLAKE, MN 56442-4057
(218) 692-1010
(218) 692-1013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
330736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750027100
—
MN
Enumeration date
05/26/2006
Last updated
02/27/2024
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