| Essentia Health St. Joseph's-hackensack Clinic | |
|
110 3rd St. S Hackensack MN 56452-0485 | |
| (218) 675-5044 | |
| (218) 675-5048 |
| Full Name | Essentia Health St. Joseph's-hackensack Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 110 3rd St. S, Hackensack, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health St. Joseph's-hackensack Clinic 110 3rd St. S Hackensack MN 56452-0485 Ph: (218) 675-5044 | Essentia Health St. Joseph's-hackensack Clinic 110 3rd St. S Hackensack MN 56452-0485 Ph: (218) 675-5044 |
| NPI Number | 1821245614 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821245614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Birch Lake Counseling Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 1st St. N., Hackensack, MN 56452 Phone: 218-675-5101 Fax: 801-340-9860 |