NPIMap

Organization Active NPI

Regions Hospital

  • General Acute Care Hospital
  • Saint Paul, MN
National Provider Identifier
1629006457
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
331071 Issued in MN
Legal business name
REGIONS HOSPITAL
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
NPI assigned
Jun 29, 2006
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
General Acute Care Hospital 282N00000X 331071 MN Primary
Psychiatric Hospital 283Q00000X 347856 MN
Clinical Medical Laboratory 291U00000X 24D0651198 MN
Substance Abuse Rehabilitation Facility 324500000X 334638 MN

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

PO Box 772739
Mailstop 11602C
Detroit, MI 48277

Other identifiers 5

IdentifierTypeStateIssuer
1016468OtherMNPREFERRED ONE LEGACY ID
5009784OtherMNMEDICA LEGACY ID
1132HPAOtherMNBLUE CROSS LEGACY ID
21OtherMNHEALTHPARTNERS LEGACY ID
422247400MedicaidMN

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
Practice locations: Coon Rapids, MN; Maplewood, MN; Saint Paul, MN; Stillwater, MN; Woodbury, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629006457. 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

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).

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

National Provider Directory

National Provider Directory
Tax ID family
St Paul Ramsey Med Ctr15 organizations share this tax ID, including this one
Part of
St Paul Ramsey Med Ctr

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 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.

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 272

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 272

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1629006457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772739",
            "address_2": "MAILSTOP 11602C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48277"
        },
        {
            "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": "2006-06-29",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MN",
            "license": "331071",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MN",
            "license": "347856",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "24D0651198",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "334638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE LEGACY ID",
            "identifier": "1016468",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA LEGACY ID",
            "identifier": "5009784",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LEGACY ID",
            "identifier": "1132HPA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS LEGACY ID",
            "identifier": "21",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422247400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.