Healtheast Care System

NPI #1336310283 in Saint Paul, Minnesota

Provider Information

NPI Number
1336310283
Entity Type
Organization
Organization Name
Healtheast Care System
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 19, 2008
Last Updated
Oct 22, 2012

Practice Location

Address
1690 UNIVERSITY AVE W
Address 2
SUITE 570
ZIP Code
55104-3723
Phone
(651) 232-4800

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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