NPIMap

Organization Active NPI

Regions Hospital

Doing business as HealthPartners Specialty Center Woodbury

  • General Acute Care Hospital
  • Woodbury, MN
National Provider Identifier
1104681105
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
REGIONS HOSPITAL
Doing business as
HealthPartners Specialty Center Woodbury
Practice address
233 Radio Dr
Woodbury, MN 55125-5805
Phone
(651) 254-7400
NPI assigned
Feb 19, 2024
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
John Clark
Title
Vice President, Finance
Phone
(651) 254-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

233 Radio Dr
Woodbury, MN 55125-5805

Mailing address

640 Jackson St
Saint Paul, MN 55101-2502

Other names 1

  • HealthPartners Specialty Center Woodbury Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000715 MN Part A Provider - Hospital 3173436755 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coon Rapids, MN; Maplewood, MN; Saint Paul, MN; Stillwater, MN; Woodbury, MN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1104681105. Details of each certification follow.

Hospital certification: CCN 240106

Legal name
REGIONS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 17, 2013
Beds
554 (473 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 3, 1986 in MN
Enrollment address
640 Jackson St
Saint Paul, MN 55101-2502
Other Hospital Practice Location
Hospital subgroups
Acute care

Ambulatory surgical center certification: CCN 24C0001130

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HealthPartners Specialty Center Woodbury
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 26, 2026
Last certification
Feb 26, 2026
Facility address
233 Radio Drive
Woodbury, MN 55125

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Regions HospitalCCN 240106 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2318339Healthpartners Specialty Center Woodbury233 Radio Drive, Woodbury, MN 55125AccreditationJan 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Regions Hospital15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

2501 Minnehaha Ave
Minneapolis, MN 55404
Phone (612) 823-5000

2575 University Ave W
Saint Paul, MN 55114
Phone (651) 254-9999

295 Phalen Blvd
#41200C
Saint Paul, MN 55130
Phone (651) 495-6200

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

1811 Weir Dr
Ste 355
Woodbury, MN 55125
Phone (651) 254-8580

8425 Seasons Pkwy
Ste 103
Woodbury, MN 55125
Phone (651) 254-3200

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer G Hines Individual Corporate Officer Jan 1, 2017
Corporate Director Jan 1, 2017
Bret C Haake Individual Corporate Officer Feb 18, 2022
Trista Matas Castillo Individual Corporate Director Jan 1, 2022
Tracy Wry Individual W-2 Managing EmployeeMGR Billing Operations May 3, 2023
Sangeeta Jain Individual Corporate Director Jan 1, 2023
Acooa Ellis Individual Corporate Director May 1, 2019
Mark R Sannes Individual Corporate Director Jan 1, 2022
Megan M Remark Individual Contracted Managing Employee Jan 1, 2015
Corporate DirectorMember- Board of Directors Jan 1, 2015
Armando Camacho Individual Corporate Director Jan 1, 2019
Andrea Walsh Individual Corporate Officer Jun 1, 2017
Corporate Director Jun 1, 2017
Jerome C Siy Individual Corporate Officer Apr 1, 2015
Corporate Director Apr 1, 2015
John Clark Individual Corporate Officer Mar 14, 2022
W-2 Managing Employee Sep 15, 2021
Penny Cermak Individual Corporate Director Jan 1, 2021
Lance Whitacre Individual Corporate Director Jan 1, 2019
Sheetal Kaul Individual Corporate Officer Feb 23, 2022
Alita R Risinger Individual Corporate OfficerSVP Cfo Care Delivery May 3, 2023
Angie Dillow Individual Corporate Director Jun 1, 2015
Hpi Ramsey Organization, Saint Paul, MN Non-profit Operational/Managerial Control Nov 29, 2007 100%
Other Nov 29, 2007 100%
Satasha Green Individual Corporate Director Jan 1, 2023
Linda Hanson Individual Corporate Director Jan 1, 2022

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 481

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 481

Affiliated clinicians 1,357

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,357

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1104681105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 RADIO DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255805",
            "telephone_number": "651-254-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "651-254-0900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPartners Specialty Center Woodbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.