# HEALTHEAST ST. JOHN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558240853
- **Authorized official:** JOSEPH CHARLES GAYLORD (CFO)
- **Authorized official phone:** (651) 895-3054

## Contact information

- **Practice address:** 1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
- **Practice address phone:** (855) 324-7843
- **Mailing address:** 1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2025
- **Last updated:** 08/29/2025