Provider Demographics
NPI:1104622075
Name:SAINT JOHN'S UNIVERSITY
Entity type:Organization
Organization Name:SAINT JOHN'S UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RATH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNP
Authorized Official - Phone:320-363-5605
Mailing Address - Street 1:2749 SEXTON DRIVE
Mailing Address - Street 2:MARY HALL 001
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56321
Mailing Address - Country:US
Mailing Address - Phone:320-363-5605
Mailing Address - Fax:320-363-3405
Practice Address - Street 1:2749 SEXTON DRIVE
Practice Address - Street 2:MARY HALL 001
Practice Address - City:COLLEGEVILLE
Practice Address - State:MN
Practice Address - Zip Code:56321
Practice Address - Country:US
Practice Address - Phone:320-363-5605
Practice Address - Fax:320-363-3405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health