NPIMap

Organization Active NPI

Regions Hospital

  • Psychiatric Hospital Unit
  • Saint Paul, MN
National Provider Identifier
1174168652
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
REGIONS HOSPITAL
Doing business as
Regions Hospital
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
NPI assigned
Nov 8, 2019
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
John Clark
Title
VP Finance
Phone
(651) 254-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

Regions Hospital
PO Box 772739
Detroit, MI 48277-2739

Other names 1

  • Regions Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205000309 MN Part A Provider - Hospital 3173436755 Practice locations: Saint Paul, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174168652. Details of each certification follow.

Hospital certification: CCN 24S106

Legal name
REGIONS HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 3, 1986 in MN
Enrollment address
640 Jackson St
Saint Paul, MN 55101-2502
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Regions Hospital Beam a15 organizations share this tax ID, including this one
Part of
Regions Hospital Beam a

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Sarah a Anderson Individual Corporate DirectorDirector May 1, 2026
Tracy Wry Individual W-2 Managing EmployeeMGR Billing Operations May 3, 2023
Sangeeta Jain Individual Corporate DirectorBoard Member Jan 1, 2023
Rebecca Hagen Individual Corporate Director May 1, 2026
Armando Camacho Individual Corporate DirectorBoard Member Jan 1, 2019
Kathleen a Kelley Individual Corporate Director May 1, 2026
Marcello Napol Individual Corporate DirectorDirector May 1, 2026
Luke Christenson Individual Corporate DirectorDirector May 1, 2026
John Clark Individual Corporate OfficerVP Finance Jan 1, 2023
Lance Whitacre Individual Corporate DirectorBoard Member Jan 1, 2019
Rafael Ortega Individual Corporate DirectorDirector May 1, 2026
Alita R Risinger Individual Corporate OfficerSVP Cfo Care Delivery May 3, 2023
Hpi Ramsey Organization, Saint Paul, MN Non-profit Operational/Managerial Control Nov 29, 2007
Lisa Bjorkman Individual W-2 Managing EmployeeDirector Jul 27, 2015
Blake Berquist Individual Corporate DirectorChief Financial Officer May 1, 2026
Jason R Maxwell-Wiggins Individual Corporate DirectorDirector May 1, 2026
Satasha Green Individual Corporate DirectorBoard Member Jan 1, 2023
Richard J Hilger Individual Corporate DirectorDirector May 1, 2026
Daniel Stoltz Individual Corporate DirectorDirector May 1, 2026

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westfields Hospital and ClinicNew Richmond, WI, CCN 521345 Hospital Operational/Managerial Control Jan 18, 2006
Westfields Hospital and ClinicNew Richmond, WI, CCN 52Z345 Hospital Operational/Managerial Control Jan 18, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1174168652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REGIONS HOSPITAL",
            "address_2": "PO BOX 772739",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONS HOSPITAL",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "651-254-0900"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regions Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regions Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.