Healtheast Midway Clinic
LBN: Healtheast Medical Research Institute
Healtheast Midway Clinic is an health care organization with primary practice located at 1390 University Ave W , Saint Paul MN 55104-4001. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Healtheast Medical Research Institute can be contacted via phone (651) 232-4800, or through Ring, Maureen via phone (612) 672-6740.
Contact Information
Primary practice address
1390 University Ave W
Saint Paul MN 55104-4001
Phone: (651) 232-4800
Fax: (651) 232-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1184670044 |
|---|---|
| LBN Legal business name | Healtheast Medical Research Institute |
| DBA Doing business as | Healtheast Midway Clinic |
| Authorized official | Ring, Maureen |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 4th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184670044 | NPPES |
| Minnesota | MEDICAID | 620829100 |
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