Active NPI
St. Joseph'S Area Health Services
- Community Health Clinic/Center
- Park Rapids, MN
National Provider Identifier
1457356206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- ST. JOSEPH'S AREA HEALTH SERVICES
- Practice address
- 1415 1St St E
Park Rapids, MN 56470-1803 - Phone
- (218) 237-5464
- Fax
- (218) 237-5541
- NPI assigned
- Jun 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlee Morrison, PHN
- Title
- Community Health Director
- Phone
- (218) 237-5474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
1415 1St St E
Park Rapids, MN 56470-1803
Mailing address
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 237-5464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568515000 | Medicaid | MN |
Other names 1
- CHI St Joseph's Health Community Health
National Provider Directory
National Provider DirectoryLocations
1415 1st St E
Park Rapids, MN 56470
Phone (218) 237-5464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1457356206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PLEASANT AVE S",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564701431",
"telephone_number": "218-237-5464",
"fax_number": "218-237-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 1ST ST E",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564701803",
"telephone_number": "218-237-5464",
"fax_number": "218-237-5541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH'S AREA HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-17",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "MARLEE",
"authorized_official_title_or_position": "COMMUNITY HEALTH DIRECTOR",
"authorized_official_telephone_number": "218-237-5474",
"authorized_official_credential": "PHN"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "568515000",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHI St Joseph's Health Community Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Park Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.