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St. Joseph'S Medical Center — NPI 1083910699, Hackensack, MN | NPI Central

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NPI 1083910699

OrganizationActive

St. Joseph'S Medical Center

NPI 1083910699 · Non-Pharmacy Dispensing Site · Hackensack, MN

Provider details

NPI number: 1083910699
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: St. Joseph'S Medical Center
Organization subpart: Yes
Authorized official: Jani Wiebolt, President(218) 828-8764

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000X
Suppliers

Practice location

110 3rd St. S

Hackensack, MN 56452-0485

Phone: (218) 675-5044

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

6501 City West Pkwy

Eden Prairie, MN 55344-3248

Other names (DBA / former)

Doing business as: Essentia Health St. Joseph'S - Hackensack Clinic

Registry dates

Enumerated: 2011-01-28
Last updated: 2011-01-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.