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Organization

REGIONS HOSPITAL

Active
Parent organization
REGIONS HOSPITAL
Other names
Regions Hospital Rehabilitation
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGIONS HOSPITAL
Authorized official
JOHN M CLARK (VP FINANCIAL)
(651) 254-0900
Entity
Organization

Contact information

Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3908
(651) 254-5649
Mailing address
PO BOX 772739, MAILSTOP 11602C, DETROIT, MI 48277

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1132HPA
BLUE CROSS LEGACY ID
MN
01
21
HEALTHPARTNERS LEGACY ID
MN
05
422247400
MN
01
5009784
MEDICA LEGACY ID
MN
Enumeration date
06/29/2006
Last updated
01/14/2025
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