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Contact Information

HEALTHEAST CARE SYSTEM
1700 UNIVERSITY AVE W
4TH FLOOR
SAINT PAUL, MN55104-3727
 Phone: 651-232-2800
 Fax: 651-232-2898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEALTHEAST CARE SYSTEM

NPI Number 1548595218
LBN Legal business name HEALTHEAST CARE SYSTEM
Authorized official DOUG DAVENPORT - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/13/2009
Last updated 11/14/2019 - About 7 years ago
Identifiers
MN License # 331635
MN Medicaid 413993300 IV
MN Medicaid 433673900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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