Organization
HEALTHEAST MEDICAL RESEARCH INSTITUTE
Active
Parent organization
HEALTHEAST MEDICAL RESEARCH INSTITUTE
Other names
HealthEast Grand Avenue Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHEAST MEDICAL RESEARCH INSTITUTE
Authorized official
MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization
Contact information
Practice address
870 GRAND AVE, SAINT PAUL, MN 55105-3291
(651) 326-5650
(651) 326-5671
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0841630019
MEDICARE PTAN
MN
05
—
500719400
—
MN
Enumeration date
06/06/2006
Last updated
02/14/2025
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