Organization
HEALTHEAST MEDICAL RESEARCH INSTITUTE
Active
Parent organization
HEALTHEAST MEDICAL RESEARCH INSTITUTE
Other names
HealthEast Cottage Grove 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
6936 PINE ARBOR DRIVE SOUTH, SUITE 100, COTTAGE GROVE, MN 55016-3007
(651) 326-5800
(651) 326-5802
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
—
0841630008
MEDICARE PTAN
MN
05
—
543525100
—
MN
Enumeration date
05/25/2006
Last updated
02/14/2025
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