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Organization

HEALTHEAST CARE SYSTEM

Active
Parent organization
MEDVANTX, INC.
Other names
HealthEast - Oakdale Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization

Contact information

Practice address
1099 HELMO AVE N, SUITE 100, OAKDALE, MN 55128-6033
(651) 326-5300
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
(858) 625-2990

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
27012
MN

Other

Enumeration date
02/12/2007
Last updated
04/11/2017
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