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HEALTHEAST MEDICAL RESEARCH INSTITUTE NPI 1831145705


NPI Information

NPI: 1831145705
Provider Name: HEALTHEAST MEDICAL RESEARCH INSTITUTE

Doing Business As: HEALTHEAST WOODBURY CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1825 WOODWINDS DR
WOODBURY, MN
ZIP 55125
Phone: (651) 232-6700
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HEALTHEAST MEDICAL RESEARCH INSTITUTE is a clinic center in Woodbury, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALTHEAST MEDICAL RESEARCH INSTITUTE NPI is 1831145705. The provider is registered as an organization entity type.
The provider Is Doing Business As Healtheast Woodbury Clinic.

The provider's business location address is:

1825 WOODWINDS DR
WOODBURY, MN
ZIP 55125
Phone: (651) 232-6700
Fax: (651) 232-6711

The provider's authorized official is Dan Fromm .
The authorized official title is Cfo and has the following contact phone number (612) 672-2258.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/30/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10841630018OTHERMINNESOTAMEDICARE PTAN
2779221200MEDICAIDMINNESOTA

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: 4/28/2024

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