St. Joseph'S Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

330736 Issued in MN

Legal business name

ST. JOSEPH'S MEDICAL CENTER

Practice address

523 N 3Rd St
Brainerd, MN 56401-3054

Phone

(218) 828-7437

Fax

(218) 828-7469

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David L Pilot

Title

Cfo

Phone

(218) 828-7642

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1841307865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-828-7437",
            "fax_number": "218-828-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-828-7437",
            "fax_number": "218-828-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "PILOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-828-7642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MN",
            "license": "330736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736045200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Joseph'S Medical Center
• St. Joseph'S Medical Center
• St. Joseph'S Medical Center
• St. Joseph'S Medical Center
• St. Joseph'S Medical Center
• Jennifer Lee Stange, RD,LD
• Aaron John Stanley, APRN, CNP
• Donald Timothy Starzinski, M.D., PH.D.
• Brenden Jacob Stay, DC
• Robert Ronald Steele, M.A.

• Psychiatric Hospital Unit in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Psychiatric Hospital Unit in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.