NPIMap

Organization Active NPI

St Francis Medical Center

Doing business as St Francis Healthcare Campus

  • Critical Access Hospital
  • Breckenridge, MN
National Provider Identifier
1003992967
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
331017 Issued in MN
Legal business name
ST FRANCIS MEDICAL CENTER
Doing business as
St Francis Healthcare Campus
Practice address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone
(218) 643-3000
Fax
(218) 643-0870
NPI assigned
Oct 31, 2006
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST FRANCIS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay Paul Ross
Title
VP Finance
Phone
(218) 616-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 331017 MN Primary

Addresses

Primary practice location

2400 St Francis Dr
Breckenridge, MN 56520-1025

Mailing address

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000

Other names 1

  • St Francis Healthcare Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000580 MN Part A Provider - Critical Access Hospital 8123937992 Receives reassigned benefits from 2 practitioners
Practice locations: Breckenridge, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003992967. Details of each certification follow.

Hospital certification: CCN 24Z377

Legal name
ST FRANCIS MEDICAL CENTER
Doing business as
CHI ST FRANCIS HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1984 in MN
Enrollment address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
St Francis Medical Ctr5 organizations share this tax ID, including this one
Part of
St Francis Medical Ctr

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janelle Krump Individual Corporate DirectorBoard Member Jul 1, 2022
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 1996 100%
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
OtherCfo, Commonspirit Health Sep 2, 2023
David Jones Individual Corporate OfficerRegion Market President Apr 17, 2021
Corporate DirectorRegion Market President Apr 17, 2021
Janel Fredericksen Individual Corporate DirectorBoard Member Jul 1, 2021
Jay Paul Ross Individual Corporate OfficerVP of Op Finance Jul 1, 2022
W-2 Managing EmployeeVP of Op Finance Jul 1, 2022
Shelly Gompf Individual Corporate DirectorBoard Member Jul 1, 2022
Tevor Stav Individual Corporate DirectorBoard Member Jul 1, 2022
Doreen Reinke Individual Corporate DirectorBoard Aug 1, 2018
David Woods Individual Corporate DirectorBoard Member Aug 1, 2023
Doretta Meier Individual Corporate DirectorBoard Member Aug 1, 2023
Gloria a Dohman Individual Corporate DirectorBoard Dec 31, 2016
Terry Anderson Individual Corporate OfficerPresident Sep 1, 2024
Corporate DirectorPresident Sep 1, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI St Francis HomeBreckenridge, MN, CCN 245265 Skilled nursing facility Operational/Managerial Control Jun 1, 1984

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • St. Francis Home

    dba CHI St Francis Healthcare

    • Skilled Nursing Facility
    • Breckenridge, MN
    • NPI 1588657118

    Operational/Managerial Control

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1003992967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-3000",
            "fax_number": "218-643-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-3000",
            "fax_number": "218-643-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS MEDICAL CENTER",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "218-616-3525"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "331017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Healthcare Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breckenridge, MN

Sources for this page

Verify at the official NPI Registry.