Provider Demographics
NPI:1003577420
Name:HEALTHEAST MEDICAL RESEARCH INSTITUTE
Entity Type:Organization
Organization Name:HEALTHEAST MEDICAL RESEARCH INSTITUTE
Other - Org Name:M HEALTH FAIRVIEW SPINE AND NEUROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AO DIRECTOR, NETWORK RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-672-6740
Mailing Address - Street 1:1700 UNIVERSITY AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3727
Mailing Address - Country:US
Mailing Address - Phone:612-672-7272
Mailing Address - Fax:
Practice Address - Street 1:1747 BEAM AVE STE 100
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1128
Practice Address - Country:US
Practice Address - Phone:651-326-5569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty