Provider Demographics
NPI:1700199304
Name:COLLEGE OF ST. BENEDICT
Entity Type:Organization
Organization Name:COLLEGE OF ST. BENEDICT
Other - Org Name:CSB STUDENT HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:RATH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNP
Authorized Official - Phone:320-363-5041
Mailing Address - Street 1:37 COLLEGE AVE S
Mailing Address - Street 2:CSB HEALTH SERVICES
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-2001
Mailing Address - Country:US
Mailing Address - Phone:320-363-5605
Mailing Address - Fax:320-363-6396
Practice Address - Street 1:37 COLLEGE AVE S
Practice Address - Street 2:LOTTIE HALL
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-2001
Practice Address - Country:US
Practice Address - Phone:320-363-5041
Practice Address - Fax:320-363-6396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health