Organization
ST. JOSEPH'S AREA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN KOPPELMAN (CEO)
(218) 732-3311
Entity
Organization
Contact information
Practice address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 732-3311
(218) 237-5585
Mailing address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 732-3311
(218) 237-5585
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
335388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027974
PREFERRED ONE
MN
01
—
1796HJO
BLUE CROSS OF MN
MN
01
—
1M141JO
BLUE SHIELD PROFESS FEES
MN
01
—
5025417
MEDICA
MN
01
—
60394
HEALTHPARTNERS
MN
01
—
CE9455
MEDICARE RAILROAD
MN
Enumeration date
02/21/2007
Last updated
04/20/2008
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