Organization Active NPI

Healtheast Medical Research Institute

  • Clinic/Center
  • Oakdale, MN
National Provider Identifier
1073569935
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTHEAST MEDICAL RESEARCH INSTITUTE
Practice address
1099 Helmo Ave N
Suite 100
Oakdale, MN 55128-6033
Phone
(651) 326-5300
Fax
(651) 326-5350
NPI assigned
May 25, 2006
Organization subpart
Yes
Parent organization
HEALTHEAST MEDICAL RESEARCH INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maureen V Ring
Title
Sys Dir Govt Reimb & Netwk Rel
Phone
(612) 672-6740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1099 Helmo Ave N
Suite 100
Oakdale, MN 55128-6033

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740

Other identifiers 2

IdentifierTypeStateIssuer
0841630006OtherMNMEDICARE PTAN
119814900MedicaidMN

Other names 1

  • HealthEast Oakdale Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000507 MN Part B Supplier - Clinic/Group Practice 3971407636 Receives reassigned benefits from 2,702 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Paul, MN; St Paul, MN; Stillwater, MN; Vadnais Heights, MN; Woodbury, MN; Cottage Grove, MN; Maplewood, MN; Oakdale, MN…

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Part of
Medical-Surg Psychiatry

Locations

6939 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (320) 630-9262

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

1600 Saint Johns Blvd
Ste 101
Maplewood, MN 55109
Phone (651) 232-5354

2945 Hazelwood St
Ste 200A
Maplewood, MN 55109
Phone (651) 232-2550

2525 University Ave SE
Minneapolis, MN 55414
Phone (612) 273-7827

3100 Kennard St
Ste 100
Saint Paul, MN 55109
Phone (651) 225-5420

1600 Saint Johns Blvd
Saint Paul, MN 55109
Phone (651) 232-5354

1875 Woodwinds Dr
Ste W150
Woodbury, MN 55125

1875 Woodwinds Dr
Ste 250
Woodbury, MN 55125
Phone (651) 232-0005

Practitioners & affiliated clinicians

Practitioners 422

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 422

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1073569935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N",
            "address_2": "SUITE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286033",
            "telephone_number": "651-326-5300",
            "fax_number": "651-326-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEAST MEDICAL RESEARCH INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHEAST MEDICAL RESEARCH INSTITUTE",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0841630006",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119814900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthEast Oakdale Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthEast Oakdale Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.