HEALTHEAST MEDICAL RESEARCH INSTITUTE (NPI# 1801842729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801842729 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Other Organization Name | HEALTHEAST COTTAGE GROVE CLINIC |
| Practice Address |
6936 Pine Arbor Drive South Suite 100 Cottage Grove MN 55016-3007 |
| Practice Telephone | 6513265800 |
| Practice Fax Number | 6513265802 |
| Mailing Telephone | 6513265800 |
| Mailing Fax Number | 6513265802 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | DOUG DAVENPORT (CFO) |
| Authorized Official Telephone | 6512322250 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | 0841630008 | 01 |
| MN | 543525100 | 05 |
| Other Name | Type Code |
|---|---|
| HealthEast Cottage Grove Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063580 | Healtheast Medical Research Institute | Pediatrics | 9900 Tamarack Road, Woodbury, MN 55125 | 2014-08-15 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1689616716 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2006-06-12 |
| 1831145705 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2006-05-25 |
| 1750791810 | Healtheast Medical Research Institute | Surgery | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2014-04-29 |
| 1053620187 | Healtheast Medical Research Institute | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2010-10-07 |
| 1508191552 | Healtheast Medical Research Institute | Internal Medicine | 1700 University Ave W, 6th Floor West, Saint Paul, MN 55104-3727 | 2009-10-08 |
| 1194987735 | Healtheast Medical Research Institute | Hospitalist | 45 West 10th Street, Saint Paul, MN 55102-1004 | 2008-06-25 |
| 1578723383 | Healtheast Medical Research Institute | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2008-06-16 |
| Street Address |
6936 PINE ARBOR DRIVE SOUTH SUITE 100 |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270211 | Planned Parenthood of Southwestern Oregon | Clinic/Center | 1450 Birch Ave, Cottage Grove, OR 97424-1417 | 2018-10-02 |
| 1568768919 | Allina Health System | Clinic/Center | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2011-02-02 |
| 1821307224 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 8690 E Point Douglas Rd S, Cottage Grove, MN 55016-4007 | 2010-10-02 |
| 1093996241 | The Village Therapy and Development Center LLC | Clinic/Center | 7249 65th St S, Cottage Grove, MN 55016-1128 | 2007-11-15 |
| 1487784500 | Planned Parenthood of Southwestern Oregon | Clinic/Center | 1450 Birch Ave, Cottage Grove, OR 97424-1417 | 2007-03-07 |
| 1750492906 | Icco LLC | Clinic/Center | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-08-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on HEALTHEAST MEDICAL RESEARCH INSTITUTE.
| 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.