ESSENTIA HEALTH ST. JOSEPH'S -BRAINERD CLINIC
NPI 1184866956
General Practice in Brainerd, MN

Q: What is St. Joseph's Medical Center's NPI number?

The NPI number for St. Joseph's Medical Center is 1184866956. It was assigned to this organization in the NPPES registry on March 25, 2009. The provider is doing business as Essentia Health St. Joseph's -Brainerd Clinic.

Q: What is St. Joseph's Medical Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 25, 2009CLIA Certified · 2 labs

2024 S 6TH ST, BRAINERD, MN 56401(218) 828-7100(218) 828-7194 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Essentia Health St. Joseph's -brainerd Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH ST. JOSEPH'S -BRAINERD CLINIC (NPI 1184866956) is a healthcare organization registered as a general practice in Brainerd, Minnesota and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates and lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1184866956

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameST. JOSEPH'S MEDICAL CENTER

Location Address2024 S 6TH STBrainerd, MN 56401-4529

Mailing Address2024 S 6th StBrainerd, MN 56401-4529 · (218) 828-7100

Phone(218) 828-7100

Fax(218) 828-7194

Organization SubpartYesParent: Essentia Health

Authorized OfficialKevin BorenVp Of Finance · (218) 786-1009

Enumeration DateMarch 25, 2009

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1184866956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2024 S 6TH ST, Brainerd, MN 56401

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Other Names 1

Doing Business AsEssentia Health St. Joseph's -brainerd Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0406113

Essentia Health St Josephs - Brainerd Clinic · Brainerd, MN

Active · expires Dec 22, 2027

CLIA Number24D0406113

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDr. Dianne M. Kendall

Laboratory Phone(218) 828-7191

Laboratory LocationEssentia Health St Josephs - Brainerd Clinic2024 South 6th Street, Brainerd, MN 56401

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 24D2011709

Essentia Health St Joseph's Medical Center · Brainerd, MN

Active · expires Jul 12, 2027

CLIA Number24D2011709

Laboratory TypeHospital

Certificate Effective DateJuly 13, 2025

Certificate Expiration DateJuly 12, 2027

Laboratory DirectorDr. Dianne M. Kendall

Laboratory Phone(218) 828-7500

Laboratory LocationEssentia Health St Joseph's Medical Center523 N 3rd Street, Brainerd, MN 56401

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC JOHN CHAPMAN D.O.

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