NPIMap

Organization Active NPI

St. Joseph's Area Health Services

Doing business as CHI St. Joseph's Health

  • Medicare Defined Swing Bed Hospital Unit
  • Park Rapids, MN
National Provider Identifier
1740325919
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
335388 Issued in MN
Legal business name
ST. JOSEPH'S AREA HEALTH SERVICES
Doing business as
CHI St. Joseph's Health
Practice address
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone
(218) 732-3311
Fax
(218) 237-5585
NPI assigned
Feb 21, 2007
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Mr. Ben Koppelman
Title
Ceo
Phone
(218) 732-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 335388 MN Primary

Addresses

Primary practice location

600 Pleasant Ave S
Park Rapids, MN 56470-1431

Mailing address

600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 732-3311

Other names 1

  • CHI St. Joseph's Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000560 MN Part A Provider - Critical Access Hospital 0345146510 Receives reassigned benefits from 2 practitioners
Practice locations: Park Rapids, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740325919. Details of each certification follow.

Hospital certification: CCN 24Z380

Legal name
ST. JOSEPH'S AREA HEALTH SERVICES
Doing business as
CHI ST JOSEPH'S HEALTH
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1945 in MN
Enrollment address
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
St Josephs Area Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Mishai Lee Individual Corporate OfficerSecretary Nov 1, 2018
Allan Judson Individual Corporate DirectorBoard Member Jul 1, 2022
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1996 100%
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
OtherCfo, Commonspirit Health Sep 2, 2023
Benjamin Koppelman Individual Corporate OfficerPresident/Ceo Jan 1, 2007
OtherPresident/Ceo Jan 1, 2007
Kurt Hansen Individual Corporate OfficerBoard Jul 1, 2017
Todd M Officer Individual Corporate DirectorBoard Member Jan 1, 2022
Deborah Haagenson Individual Corporate OfficerSite Cno Jul 1, 2005
Corporate DirectorBoard Member Aug 1, 2022
Jason McCollum Individual Corporate DirectorBoard Member Jul 1, 2022
Jay Paul Ross Individual Corporate OfficerSite Cfo Jan 30, 2012
W-2 Managing EmployeeCfo / VP of Finance Jan 30, 2012
Clifford Tweedale Individual Corporate OfficerBoard Jul 1, 2017
Bernice M Ebner Individual Corporate OfficerBoard May 1, 2019
Bradley Dahn Individual Corporate OfficerBoard Feb 5, 2019
Esther Simon Individual Corporate OfficerBoard Feb 5, 2019
Jessica Jensen Individual Corporate DirectorBoard Member Aug 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1740325919",
    "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": "218-732-3311",
            "fax_number": "218-237-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLEASANT AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701431",
            "telephone_number": "218-732-3311",
            "fax_number": "218-237-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S AREA HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "KOPPELMAN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-732-3311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MN",
            "license": "335388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHI St. Joseph's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.