ESSENTIA HEALTH ST. JOSEPH'S-PINE RIVER CLINIC
NPI 1649223603
Clinic/Center - Primary Care in Pine River, MN

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

The NPI number for St. Joseph's Medical Center is 1649223603. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Essentia Health St. Joseph's-Pine River Clinic.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 18, 2006CLIA 24D0682149 · Waiver

280 BARCLAY AVE W, PINE RIVER, MN 56474(218) 587-4416(218) 587-2677 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2020, Jan 9, 2017 (2 updates tracked since 2017).

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About Essentia Health St. Joseph's-pine River Clinic NPPES

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

ESSENTIA HEALTH ST. JOSEPH'S-PINE RIVER CLINIC (NPI 1649223603) is a healthcare organization registered as a primary care in Pine River, Minnesota and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027, maintains a secondary practice location in Pine River, and lists Kevin Boren, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1649223603

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameST. JOSEPH'S MEDICAL CENTER

Location Address280 BARCLAY AVE WPine River, MN 56474-5197

Mailing Address280 Barclay Ave WPine River, MN 56474-5197 · (218) 587-4416 · Fax (218) 587-2677

Phone(218) 587-4416

Fax(218) 587-2677

Organization SubpartYesParent: Essentia Health

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

Enumeration DateMay 18, 2006

Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1649223603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in MN · 330736

280 BARCLAY AVE W, Pine River, MN 56474

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Other Names 1

Doing Business AsEssentia Health St. Joseph's-pine River Clinic

Secondary Practice Location 1

Location 1415 Barclay AvePine River, MN 56474-5139 · Phone (218) 587-4416 · Fax (218) 587-2677

Other Identifiers 1

Medicaid699019300MN

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

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 Waiver 24D0682149

Essentia Health St Josephs - Pine River Clinic · Pine River, MN

Active · expires Sep 30, 2027

CLIA Number24D0682149

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorDanielle L. Ashcroft

Laboratory Phone(218) 587-4416

Laboratory LocationEssentia Health St Josephs - Pine River Clinic280 Barclay Ave W, Pine River, MN 56474

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BRAINERD MEDICAL CENTER INC

Pharmacy (Community/Retail Pharmacy)

280 BARCLAY AVE W, STE 1100
PINE RIVER, MN 56474

Crow Wing County (218) 587-3222

JAELYN ELIZABETH KAPPES PHARMD

Pharmacist (Ambulatory Care)

280 BARCLAY AVE W
PINE RIVER, MN 56474

Crow Wing County (218) 587-3222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for St. Joseph's Medical Center is 1649223603. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Essentia Health St. Joseph's-Pine River Clinic.

Where is St. Joseph's Medical Center located?

St. Joseph's Medical Center is located at 280 Barclay Ave W, Pine River, MN 56474. The listed phone number is (218) 587-4416.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does St. Joseph's Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0682149) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Joseph's Medical Center accept?

Health plans from Medica and Sanford Health Plan list St. Joseph's Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Joseph's Medical Center was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.