Organization
REGIONS HOSPITAL
Active
Parent organization
REGIONS HOSPITAL
Other names
Pharmacy DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGIONS HOSPITAL
Authorized official
HEIDI G CONRAD (CHIEF FINANCIAL OFFICER)
(651) 254-0933
Entity
Organization
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3908
(651) 254-5649
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3908
(651) 254-5649
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
331071
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016468
PREFERRED ONE LEGACY ID
MN
01
—
1132HPA
BLUE CROSS LEGACY ID
MN
01
—
21
HEALTHPARTNERS LEGACY ID
MN
05
—
422247400
—
MN
01
—
5009784
MEDICA LEGACY ID
MN
Enumeration date
06/28/2006
Last updated
12/03/2020
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