HEALTHEAST CARE SYSTEM (NPI# 1194787465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194787465 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST CARE SYSTEM |
| Other Organization Name | HEALTHEAST BETHESDA HOSPITAL |
| Practice Address |
559 Capitol Blvd Saint Paul MN 55103-2101 |
| Practice Telephone | 6512322000 |
| Practice Fax Number | 6512322118 |
| Mailing Telephone | 6512322000 |
| Mailing Fax Number | 6512322118 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
| Authorized Official Telephone | 6126726594 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHEAST CARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 338943 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 921547600 | 05 |
| Other Name | Type Code |
|---|---|
| HealthEast Bethesda Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663711 | Healtheast Care System | Pharmacy | 1700 University Ave W, Saint Paul, MN 55104 | 2016-03-30 |
| 1710212485 | Healtheast Care System | Ambulance | 799 Reaney Ave, Saint Paul, MN 55106-4412 | 2009-10-13 |
| 1548595218 | Healtheast Care System | Pharmacy | 1700 University Ave W, 4th Floor, Saint Paul, MN 55104-3727 | 2009-10-13 |
| 1982842290 | Healtheast Care System | Non-Pharmacy Dispensing Site | 3100 Kennard St, 100, Maplewood, MN 55109-4569 | 2009-01-23 |
| 1790957041 | Healtheast Care System | Non-Pharmacy Dispensing Site | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2087 | 2008-03-27 |
| 1336310283 | Healtheast Care System | Non-Pharmacy Dispensing Site | 1690 University Ave W, Suite 570, Saint Paul, MN 55104-3723 | 2008-03-19 |
| 1669514493 | Healtheast Care System | Non-Pharmacy Dispensing Site | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2007-02-12 |
| Street Address |
559 CAPITOL BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987245 | Karen E. Miller | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-03-24 |
| 1659911089 | Mitchell Allen Peterson | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2020-01-14 |
| 1134689193 | Jeremy Tvrdik | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-24 |
| 1932666518 | Eliesa Woggon | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-01 |
| 1558828228 | Tina Denise Stone | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-28 |
| 1053877514 | Jennifer Joy Rovn | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1154887685 | Danetta Lavell | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1437659190 | Riley Odom | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2018-02-19 |
| 1215476437 | Kayla Appleby | Social Worker | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2017-02-21 |
| 1659821452 | Jenna Jenkins | Speech-Language Pathologist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538524384 | Bethesda Hospital, Healtheast | Long Term Care Hospital | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585382 | Regency Hospital of Minneapolis, LLC | Long Term Care Hospital | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55422-4286 | 2005-08-12 |
| City | SAINT PAUL |
| Zip Code | 55103 |
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| 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.