HEALTHEAST MEDICAL RESEARCH INSTITUTE DBA HEALTHEAST PHYSICIAN SERVICE


Address: 3100 Kennard St, Suite 100, Maplewood, MN 55109-4569
Phone: 6512327031

HEALTHEAST MEDICAL RESEARCH INSTITUTE DBA HEALTHEAST PHYSICIAN SERVICE (NPI# 1073569943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073569943
Entity Type Organization
Organization Name HEALTHEAST MEDICAL RESEARCH INSTITUTE DBA HEALTHEAST PHYSICIAN SERVICE
Other Organization Name HEALTHEAST NEONATAL SERVICES
Practice Address 3100 Kennard St
Suite 100
Maplewood
MN 55109-4569
Practice Telephone 6512327031
Practice Fax Number 6512327826
Mailing Telephone 6512327031
Mailing Fax Number 6512327826
Enumeration Date 2006-05-25
Last Update Date 2015-05-20
Authorized Official Name DOUG DAVENPORT (CFO)
Authorized Official Telephone 6512322250
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 250223200 05

Other Provider/Organization Names

Other Name Type Code
HealthEast Neonatal Services Other Name - Individual/Organization

Office Location

Street Address 3100 KENNARD ST
SUITE 100
City MAPLEWOOD
State MN
Zip Code 55109-4569

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598756157 William B Hicks Allergy & Immunology 3100 Kennard St, Maplewood, MN 55109-5439 2005-11-02
1316495401 Thomas Grove Wilson Nurse Practitioner 3100 Kennard St, Suite 100, Maplewood, MN 55109-5465 2016-09-16
1982842290 Healtheast Care System Non-Pharmacy Dispensing Site 3100 Kennard St, 100, Maplewood, MN 55109-4569 2009-01-23
1003014911 John Paul Berger Internal Medicine 3100 Kennard St, Suite 250, Maplewood, MN 55109-5465 2007-07-03
1770600884 Stephanie J Fox Allergy & Immunology 3100 Kennard St, Maplewood, MN 55109-5465 2007-03-23
1902986698 Carol Lu Internal Medicine 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 2006-10-17
1568559888 Christopher Neville Ussher Internal Medicine 3100 Kennard St, Maplewood, MN 55109-5465 2006-10-06
1396859468 Jeanne Mackenzie Goodspeed Pediatrics 3100 Kennard St, Maplewood, MN 55109 2006-08-18
1467497610 Kent Davis Bergh Family Medicine 3100 Kennard St, Suite 100 Healtheast Physician Service, Maplewood, MN 55109 2006-06-19
1437198694 Thomas G Dashiell Internal Medicine 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 2006-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063828 Jodi May Begordis Registered Nurse 2586 7th Ave East, Suite 302, North St Paul, MN 55109 2020-05-06
1467917146 Alejandro Diez Freire Social Worker 2468 Germain St, Maplewood, MN 55109 2019-02-06
1679099667 Rochelle Marie Clarke Registered Nurse 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 2017-08-21
1497298210 Salams Care Residential, LLC Home Health 2240 Ide Ct, Maplewood, MN 55109 2016-11-28
1093199630 Garry Allen Psychologist 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 2015-07-14
1700264751 Matthew Seng Thao Student in an Organized Health Care Education/Training Program 1470 Gervais Ave, Maplewood, MN 55109 2015-05-11
1326458340 Chong Chang Counselor 1705 Cope Ave E Ste I, Maplewood, MN 55109 2014-04-29
1619396488 Leah Anne Downey Occupational Therapist 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 2014-04-09
1356765440 Group Health Plan, Inc Clinic/Center 2520 12th Ave E, North St Paul, MN 55109 2014-02-10
1336560275 Veneman Dental Care, Pa Dentist 1774 Cope Ave, Suite 110, Maplewood, MN 55109 2013-12-19
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013460468 Premier Healthcare Group Clinic/Center 90 Midland Blvd, Maplewood, NJ 07040-1810 2016-08-02
1932640380 Asya Rivinson, Lcsw, PC Clinic/Center 697 Valley St Ste B1, Maplewood, NJ 07040-2645 2017-03-19
1780094128 Asya Rivinson Lcsw PC Clinic/Center 697 Valley St, Suite B1, Maplewood, NJ 07040-2641 2014-05-07
1144526930 Allina Health System Clinic/Center 1850 Beam Ave, Maplewood, MN 55109-1162 2011-01-27
1942443379 Family First Chiropractic & Wellness Center Clinic/Center 2485 Maplewood Dr, Suite 215, Maplewood, MN 55109-1978 2009-04-15
1285809590 Fairview Health Services Clinic/Center 2355 Ariel St N, Ste B, Maplewood, MN 55109-2275 2008-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871191403 Cham Clinic LLC Clinic/Center 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 2020-10-15
1003434622 Lost Lake Optical Company Clinic/Center 5240 Shady Island Cir, Mound, MN 55364-9222 2020-07-09
1811513310 Prescribed By LLC Clinic/Center 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 2020-06-19
1992320014 Jtp Professional Service Corporation Clinic/Center 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 2020-06-15
1689299125 Altru Health System Clinic/Center 1st & Roosevelt, Karlstad, MN 56732 2020-06-10
1831710409 Webmed LLC Clinic/Center 925 E Superior St Ste 113, Duluth, MN 55802-2253 2020-05-05
1073149779 Functional Chiropractic Rehab, Pllc Clinic/Center 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 2020-03-14
1225676067 Liana Healthcare P.ll.c Clinic/Center 8348 Beard Rd, Bloomington, MN 55431-1028 2019-12-11
1245875293 Fairview Clinics Clinic/Center 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 2019-11-14
1275175242 Hye-kyong Kim Therapy LLC Clinic/Center 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 2019-10-11
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Competitor

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City MAPLEWOOD
Zip Code 55109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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