Organization
ST. JOSEPH'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L PILOT (CFO)
(218) 828-7642
Entity
Organization
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7437
(218) 828-7469
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7437
(218) 828-7469
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
330736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736045200
—
MN
Enumeration date
08/24/2006
Last updated
12/10/2013
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