Organization Active NPI

St. Joseph'S Area Health Services

  • Community Health Clinic/Center
  • Park Rapids, MN
National Provider Identifier
1457356206
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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

Updated by the provider on Mar 4, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
568515000MedicaidMN

Other names 1

  • CHI St Joseph's Health Community Health Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.