Organization
REGIONS HOSPITAL
Active
Parent organization
REGIONS HOSPITAL
Other names
Regions Professional Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGIONS HOSPITAL
Authorized official
JOHN M CLARK (VICE PRESIDENT, FINANCE)
(651) 254-0900
Entity
Organization
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3908
(651) 254-5649
Mailing address
PO BOX 772739, MAILSTOP 11602C, DETROIT, MI 48277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016468
PREFERRED ONE LEGACY ID
MN
01
—
113HPA
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
02/28/2025
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