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SCH240075-60 ST JOSEPHS MEDICAL CENTER (Active)
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Main Details
Name
ST JOSEPHS MEDICAL CENTER
Subdivision Name
Essentia Health St. Joseph's - Brainerd Clinic / Palliative Care - Essentia Health St. Joseph's - Brainerd Clinic / Palliative Care
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH240075-60
Medicare Provider Number
240075
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/5/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/9/2023
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Essentia Health
Bradley Beard, Chief Operating Officer
(218) 786-2652
Primary Contact
Essentia Health
Nick Sharrow, Pharmacy Business Services Director
(218) 606-9246
Addresses
Street Address
2024 S SIXTH ST
Brainerd, MN 56401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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