HEALTHEAST CARE SYSTEM (NPI# 1669514493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669514493 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST CARE SYSTEM |
| Other Organization Name | HEALTHEAST - OAKDALE CLINIC |
| Practice Address |
1099 Helmo Ave N Suite 100 Oakdale MN 55128-6033 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 6513265300 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | MR. SCOTT PETERSON (CFO) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 27012 | MN | Suppliers |
| Other Name | Type Code |
|---|---|
| HealthEast - Oakdale Clinic | 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 |
| 1194787465 | Healtheast Care System | Long Term Care Hospital | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-04-04 |
| Street Address |
1099 HELMO AVE N SUITE 100 |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987579 | William Randall Kreusser | Psychologist | 1099 Helmo Ave N, Suite 250, Oakdale, MN 55128-6033 | 2006-01-19 |
| 1912237694 | Mary Elizabeth Tuttle | Physical Therapist | 1099 Helmo Ave N, Oakdale, MN 55128-6033 | 2010-01-03 |
| 1225361066 | Chad Theodore Bogren | Optometrist | 1099 Helmo Ave N, Ste 150, Oakdale, MN 55128-6038 | 2009-09-11 |
| 1821240557 | David Lyle Haglund | Family Medicine | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2008-10-13 |
| 1780889162 | Allison Leah Wong | Family Medicine | 1099 Helmo Ave N, Oakdale, MN 55128-6033 | 2007-06-18 |
| 1760684559 | Sally Nicole Peters | Dentist | 1099 Helmo Ave N, Suite 200, Oakdale, MN 55128-6033 | 2007-06-04 |
| 1285702167 | Jon D. Tessar | Dentist | 1099 Helmo Ave N, Suite 200, Oakdale, MN 55128-6033 | 2006-12-01 |
| 1093888349 | Advanced Vision Clinic and Optical LLC | Optometrist | 1099 Helmo Ave N, Suite 150, Oakdale, MN 55128-6033 | 2006-11-16 |
| 1912929357 | Valerie Jane Jarstad | Family Medicine | 1099 Helmo Ave N, Healtheast Oakdale Clinic, Oakdale, MN 55128-6033 | 2006-07-24 |
| 1073569935 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104331438 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 | 2017-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
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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.