Essentia Health Baxter Pharmacy
LBN: Brainerd Medical Center Inc
Essentia Health Baxter Pharmacy is an health care organization with primary practice located at 13060 Isle Dr , Baxter MN 56425-8331. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brainerd Medical Center Inc can be contacted via phone (218) 454-5920, or through Cernohous, Tim via phone (218) 786-8516.
Contact Information
Primary practice address
13060 Isle Dr
Baxter MN 56425-8331
Phone: (218) 454-5920
Fax: (218) 454-5921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 263792 | Minnesota |
Profile Details
| NPI number | 1841576261 |
|---|---|
| LBN Legal business name | Brainerd Medical Center Inc |
| DBA Doing business as | Essentia Health Baxter Pharmacy |
| Authorized official | Cernohous, Tim PHARM.D., PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2011 |
| Last updated | Apr 18th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841576261 | NPPES |
| Other | 2132596 | PK | |
| MEDICAID | 1841576261 | PK |
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