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General NPI Number Information
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NPI Number | 1629006457
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Entity Type | Organization
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Legal Business Name | REGIONS HOSPITAL
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2502
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Country | US
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Telephone | 651-254-3456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 772739 MAILSTOP 11602C
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City | DETROIT
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State | MI
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Zip | 48277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, FINANCE
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Name | JOHN CLARK
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Credential |
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Telephone | 651-254-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 347856
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 24D0651198
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 334638
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 331071
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License Number State | MN
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