Organization
REGIONS HOSPITAL
Active
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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