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Organization

HEALTHEAST ST. JOHN'S HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH CHARLES GAYLORD (CFO)
(651) 895-3054
Entity
Organization

Contact information

Practice address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(855) 324-7843
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/29/2025
Last updated
08/29/2025
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