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HEALTHEAST - MIDWAY CLINIC
NPI 1336310283
Non-Pharmacy Dispensing Site in Saint Paul, MN

Active since March 19, 2008
1690 UNIVERSITY AVE W, SUITE 570, SAINT PAUL, MN 55104(651) 232-4800 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healtheast - Midway Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHEAST - MIDWAY CLINIC (NPI 1336310283) is a healthcare organization registered as a non-pharmacy dispensing site in Saint Paul, Minnesota and active in the NPI registry since March 2008. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1336310283
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameHEALTHEAST CARE SYSTEM
Location Address1690 UNIVERSITY AVE W, SUITE 570Saint Paul, MN 55104-3723
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(651) 232-4800
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateMarch 19, 2008
Last NPPES UpdateOctober 22, 2012
✔ NPI 1336310283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MN · PY32377
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1690 UNIVERSITY AVE W, Saint Paul, MN 55104
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Other Names 1

Doing Business AsHealtheast - Midway Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN M FRINK MD
Internal Medicine
1690 UNIVERSITY AVE W, SUITE 570
SAINT PAUL, MN 55104
Ramsey County (651) 232-4800
SANDRA LEE MCTAVISH CNP
Nurse Practitioner
1690 UNIVERSITY AVE W, SUITE 460
SAINT PAUL, MN 55104
Ramsey County (651) 232-2002
KENNETH G AMMONS DPM
Podiatrist
1690 UNIVERSITY AVE W, SUITE 570
SAINT PAUL, MN 55104
Ramsey County (651) 232-4800
JAMES MICHAEL CLINE MD
Family Medicine
1690 UNIVERSITY AVE W, SUITE 460
SAINT PAUL, MN 55104
Ramsey County (651) 232-2002
RASHID IQBAL MD
Internal Medicine
1690 UNIVERSITY AVE W, SUITE 570
SAINT PAUL, MN 55104
Ramsey County (651) 232-4800
ADULT AND CHILD ALLERGY, P.A.
Allergy & Immunology
1690 UNIVERSITY AVE W, SUITE 450
SAINT PAUL, MN 55104
Ramsey County (651) 645-8182
GARY H KNUDSEN MD
Internal Medicine
1690 UNIVERSITY AVE W, SUITE 570
SAINT PAUL, MN 55104
Ramsey County (651) 232-4800
WILLIAM A BROMBACH MD
Internal Medicine
1690 UNIVERSITY AVE W, SUITE 570
SAINT PAUL, MN 55104
Ramsey County (651) 232-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healtheast Care System's NPI number?

The NPI number for Healtheast Care System is 1336310283. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Healtheast - Midway Clinic.

Where is Healtheast Care System located?

Healtheast Care System is located at 1690 University Ave W Suite 570, Saint Paul, MN 55104. The listed phone number is (651) 232-4800.

What is Healtheast Care System's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Healtheast Care System was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.