Provider Demographics
NPI:1578723383
Name:HEALTHEAST MEDICAL RESEARCH INSTITUTE
Entity Type:Organization
Organization Name:HEALTHEAST MEDICAL RESEARCH INSTITUTE
Other - Org Name:HEALTHEAST HOSPITALIST SERVICES-WOODWINDS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR NETWORK RELATIONS AO
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 1:1925 WOODWINDS DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2270
Mailing Address - Country:US
Mailing Address - Phone:651-232-0395
Mailing Address - Fax:651-232-0307
Practice Address - Street 1:1925 WOODWINDS DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2270
Practice Address - Country:US
Practice Address - Phone:651-232-0395
Practice Address - Fax:651-232-0307
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHEAST MEDICAL RESEARCH INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-16
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty