Healthcare Provider Details

I. General information

NPI: 1306873872
Provider Name (Legal Business Name): REGIONS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 PHALEN BLVD
SAINT PAUL MN
55130-5302
US

IV. Provider business mailing address

PO BOX 772739
DETROIT MI
48277-2739
US

V. Phone/Fax

Practice location:
  • Phone: 651-254-3908
  • Fax: 651-254-5649
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number331071
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JOHN CLARK
Title or Position: VICE PRESIDENT, FINANCE
Credential:
Phone: 651-254-0900