OrganizationActive
St Joseph'S Medical Center
NPI 1174809792 · General Practice Physician · Baxter, MN
Provider details
- NPI number
- 1174809792
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Essentia Health
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Vp of Finance(218) 786-1009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13060 Isle Drive
Baxter, MN 56425
Phone: (218) 828-2880
Approximate (ZIP-level) locationGet directions
Mailing address
13060 Isle Drive
Baxter, MN 56425
Other names (DBA / former)
- Doing business as
- Essentia Health-St Joseph'S Baxter Clinic
- Doing business as
- Essentia Health-St Joseph'S Baxter Clinic
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2024-02-26
- Certified
- 2024-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.