St. Joseph'S Medical Center
NPI 1730134891 · Primary Care Clinic/Center · Pequot Lakes, MN
St. Joseph'S Medical Center is a Primary Care Clinic/Center organization in Pequot Lakes, MN (NPI 1730134891).
Provider details
- NPI number
- 1730134891
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Vp of Finance(218) 786-1009
- License
- 330736 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Essentia Health St. Joseph'S-Pequot Lakes Clinic
- Doing business as
- Essentia Health St. Joseph'S-Pequot Lakes Clinic
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Frequently asked questions
- What is St. Joseph'S Medical Center's NPI number?
- St. Joseph'S Medical Center's National Provider Identifier (NPI) is 1730134891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Joseph'S Medical Center?
- St. Joseph'S Medical Center is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is St. Joseph'S Medical Center located?
- St. Joseph'S Medical Center's practice location on file with NPPES is 4317 W Woodman St, Pequot Lakes, MN 56472-3473.
- What is St. Joseph'S Medical Center's phone number?
- The practice phone number listed in the NPPES registry for St. Joseph'S Medical Center is (218) 568-4416.
- Who is the authorized official for St. Joseph'S Medical Center?
- The authorized official listed on St. Joseph'S Medical Center's NPPES record is Kevin Boren, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Joseph'S Medical Center's NPI active?
- Yes — St. Joseph'S Medical Center's NPI (1730134891) is active in the NPPES registry as of the last update on 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.