OrganizationActive
St. Joseph'S Medical Center
NPI 1821245614 · Primary Care Clinic/Center · Hackensack, MN
Provider details
- NPI number
- 1821245614
- 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
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
110 3rd St. S
Hackensack, MN 56452-0485
Phone: (218) 675-5044
Fax: (218) 675-5048
Street-level locationGet directions
Mailing address
110 3rd St. S
Hackensack, MN 56452-0485
Other names (DBA / former)
- Doing business as
- Essentia Health St. Joseph'S-Hackensack Clinic
- Doing business as
- Essentia Health St. Joseph'S-Hackensack Clinic
Registry dates
- Enumerated
- 2008-08-22
- 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.