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NPI Code Detail

MEDICARE: HEALTHEAST MEDICAL RESEARCH INSTITUTE

MEDICARE: HEALTHEAST MEDICAL RESEARCH INSTITUTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184670044
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHEAST MEDICAL RESEARCH INSTITUTE
Provider Business Mailing Address
First Line : 1700 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3727
Country : US
Telephone Number : 612-672-6740
Fax Number : 612-884-3592
Provider Business Practice Location Address
First Line : 1390 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4001
Country : US
Telephone Number : 651-232-4800
Fax Number : 651-232-4899
Authorized Official
Title or Position : SYS DIR GOVT REIMB & NETWK REL
Name : MAUREEN V RING
Credential :
Telephone Number : 612-672-6740
Provider Enumeration Date : 05/25/2006
Last Update Date : 02/14/2025

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Directions to “HEALTHEAST MEDICAL RESEARCH INSTITUTE ” Practice Location

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