OrganizationActive
St Joseph'S Medical Center
NPI 1639648348 · Radiology Clinic/Center · Brainerd, MN
Provider details
- NPI number
- 1639648348
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Vp of Finance(218) 786-1009
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2019 S 6th St
Brainerd, MN 56401-4528
Phone: (218) 822-6736
Fax: (218) 822-3758
Approximate (ZIP-level) locationGet directions
Mailing address
2019 S 6th St
Brainerd, MN 56401-4528
Other names (DBA / former)
- Doing business as
- Essentia Health Lakes Imaging
- Doing business as
- Essentia Health Lakes Imaging
Registry dates
- Enumerated
- 2018-11-26
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.