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General NPI Number Information
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NPI Number | 1871929976
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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 | 09/20/2013
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 956 PROSPERITY AVE
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City | SAINT PAUL
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State | MN
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Zip | 55106-3697
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Country | US
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Telephone | 651-254-3250
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Fax | 952-883-9625
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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 M 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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 331071
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License Number State | MN
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