HEALTHEAST ST. JOSEPH'S HOSPITAL NPI 1114948833

NPI Information

NPI: 1114948833
Provider Name: HEALTHEAST ST. JOSEPH'S HOSPITAL

Doing Business As: HEALTHEAST HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
45 10TH STREET WEST
SAINT PAUL, MN
ZIP 55102
Phone: (651) 232-3312
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HEALTHEAST ST. JOSEPH'S HOSPITAL is a hospice care community based in Saint Paul, MN. HEALTHEAST ST. JOSEPH'S HOSPITAL NPI is 1114948833. The provider is registered as an organization entity type.
The provider Is Doing Business As Healtheast Hospice.

The provider's business location address is:

45 10TH STREET WEST
SAINT PAUL, MN
ZIP 55102-004
Phone: (651) 232-3312
Fax: (651) 232-3494

The provider's authorized official is Doug Davenport .
The authorized official title is Cfo and has the following contact phone number (651) 232-2250.

The CLIA number assigned to this NPI record is 24D0922919 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		330330	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	714555100	MEDICAID	MINNESOTA
2	241504	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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