Order of St. Benedict

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ORDER OF ST. BENEDICT

Doing business as

St. John's University Health Center

Practice address

112 Abbey Rd
Collegeville, MN 56321-7777

Phone

(320) 363-3142

Fax

(320) 363-3124

NPI assigned

Jun 23, 2005

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen Johanna Haeg, PA-CNPI 1841296910

Title

Health Center Manager

Phone

(320) 363-3142

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. John's University Health Center Doing business as

Practitioners 1

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.

• Eileen Johanna Haeg, PA-C

  • Physician Assistant
  • Collegeville, MN
  • NPI 1841296910
  NPD (past) Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1144226226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ABBEY RD",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "563217777",
            "telephone_number": "320-363-3142",
            "fax_number": "320-363-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ABBEY RD",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "563217777",
            "telephone_number": "320-363-3142",
            "fax_number": "320-363-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORDER OF ST. BENEDICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "HAEG",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "HEALTH CENTER MANAGER",
        "authorized_official_telephone_number": "320-363-3142",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55326JO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's University Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Robert Bierscheid, A.T.C.
• Group Health Plan, Inc. (HealthPartners Central Minnesota Clinics on the Campus of Saint John's)
• Eileen Johanna Haeg, PA-C
• Gayle Christine Leen, PA-C
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Radar, LLC (RADAR Counseling)
• Holly Nichole Remmenga, ATC
• Justin Michael Rost, ATC, CSCS, MSE
• Saint John's University
• Michelle Stemper

• Clinic/Center in Collegeville, MN
• Providers in Collegeville, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.