Organization
REGIONS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
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
273Y00000X
Rehabilitation Hospital Unit
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
06/29/2006
Last updated
08/19/2025
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