Organization Name: | ST. JOSEPH'S MEDICAL CENTER |
NPI Number: | 1568418861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID L PILOT (CFO) |
Mailing Address: | 221 Main Street Pierz |
State: | MN US |
Postal Code: | 56364 |
Phone Number: | 3204682587 |
Fax Number: | 3204686219 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 330736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |