Organization
HEALTHEAST ST JOSEPHS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT)
(612) 672-6594
Entity
Organization
Contact information
Practice address
45 10TH STREET WEST, SAINT PAUL, MN 55102-1004
(651) 232-3000
Mailing address
45 10TH STREET WEST, SAINT PAUL, MN 55102-1004
(651) 232-3000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
251B00000X
Case Management Agency
331504
MN
273R00000X
Psychiatric Hospital Unit
331504
MN
282N00000X
General Acute Care Hospital
Primary
331504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712047800
—
MN
05
—
712047802
—
MN
Enumeration date
05/01/2006
Last updated
10/09/2020
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