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Organization
REGIONS HOSPITAL
Active
Organization
REGIONS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLARK (VICE PRESIDENT, FINANCE)
(651) 254-0900
Entity
Organization
Contact information
Practice address
233 RADIO DR, WOODBURY, MN 55125-5805
(651) 254-7400
Mailing address
640 JACKSON ST # MS 11102S, SAINT PAUL, MN 55101-2502
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/19/2024
Last updated
02/28/2024
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