# REGINA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1891729802
- **Authorized official:** MR. MARK WILSON (CEO)
- **Authorized official phone:** (651) 480-4104

## Contact information

- **Practice address:** 1175 NININGER RD, HASTINGS, MN 55033-1056
- **Practice address phone:** (651) 480-4100
- **Practice address fax:** (651) 480-4212
- **Mailing address:** 1175 NININGER RD, HASTINGS, MN 55033-1056
- **Mailing address phone:** (651) 480-4100
- **Mailing address fax:** (651) 480-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MN | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 02/28/2008