Active NPI
Regions Hospital
- Ambulatory Surgical Clinic/Center
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- REGIONS HOSPITAL
- Practice address
- 233 Radio Dr
Woodbury, MN 55125-5805 - Phone
- (651) 254-7400
- NPI assigned
- Feb 19, 2024
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
233 Radio Dr
Woodbury, MN 55125-5805
Mailing address
640 Jackson St # Ms 11102S
Saint Paul, MN 55101-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
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 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
640 Jackson St
#11102S
Saint Paul, MN 55101
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Westfields Hospital and Clinic | Hospital | Operational/Managerial Control | Jan 18, 2006 |
| Westfields Hospital and Clinic | 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.
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Saint Paul, MN
- NPI 1437386091
-
- Certified Registered Nurse Anesthetist
- Saint Paul, MN
- NPI 1942002332
-
- Emergency Medicine Physician
- Eau Claire, WI
- NPI 1407389562
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": "1709078400000",
"number": "1649035643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 JACKSON ST # MS 11102S",
"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": "2024-02-28",
"certification_date": "2024-02-28",
"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": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.