ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC – NPI #1174809792
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC is a provider located in BAXTER, MN. NPPES has assigned the NPI number 1174809792 to ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC on October 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC” is a dba name, the actual legal business name for this organization is ST JOSEPH'S MEDICAL CENTER. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Feb 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC below.

NPI Profile for
ST JOSEPH'S MEDICAL CENTER

NPI Number
1174809792
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JOSEPH'S MEDICAL CENTER
Doing Business As (dba): ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC
Primary location
13060 ISLE DRIVE
BAXTER, MN 56425
Phone: (218) 828-2880 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC is subpart of another organization.
Authorized Official
KEVIN BOREN
VP OF FINANCE
Phone: (218) 786-1009
Updated
Certification Date
Feb 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.