Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Joseph's Medical Center

Organization Primary Care Clinic/Center · NPI 1730134891

St Joseph's Medical Center is a Primary Care Clinic/Center in Pequot Lakes, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

4317 W Woodman St
Pequot Lakes, MN 56472-3473
Phone: (218) 568-4416
Fax: (218) 568-4625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 330736 (MN)

Record details

NPI number1730134891
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEssentia Health
Authorized official Kevin Boren — Vp Of Finance · (218) 786-1009
Other names Essentia Health St. Joseph'S-Pequot Lakes Clinic; Essentia Health St. Joseph'S-Pequot Lakes Clinic
NPI enumeratedMay 24, 2006
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address4317 W Woodman St, Pequot Lakes, MN 56472-3473