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HEALTHEAST - MAPLEWOOD
NPI 1982842290
Non-Pharmacy Dispensing Site in Maplewood, MN

Active since January 23, 2009
3100 KENNARD ST, 100, MAPLEWOOD, MN 55109(651) 232-7800 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Healtheast - Maplewood NPPES

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

HEALTHEAST - MAPLEWOOD (NPI 1982842290) is a healthcare organization registered as a non-pharmacy dispensing site in Maplewood, Minnesota and active in the NPI registry since January 2009. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1982842290
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameHEALTHEAST CARE SYSTEM
Location Address3100 KENNARD ST, 100Maplewood, MN 55109-4569
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(651) 232-7800
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateJanuary 23, 2009
Last NPPES UpdateOctober 22, 2012
✔ NPI 1982842290 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 · 40379
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.)

3100 KENNARD ST, Maplewood, MN 55109
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Other Names 1

Doing Business AsHealtheast - Maplewood

Other Providers at the Same Location NPPES 6

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

DR. KENT DAVIS BERGH M.D.
Family Medicine
3100 KENNARD ST, SUITE 100 HEALTHEAST PHYSICIAN SERVICE,
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
DR. STEPHANIE J FOX MD
Allergy & Immunology
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 326-1044
CHRISTOPHER NEVILLE USSHER M.D.
Internal Medicine (Rheumatology)
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (650) 737-2692
THOMAS GROVE WILSON CNP
Nurse Practitioner (Primary Care)
3100 KENNARD ST, SUITE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
DR. CAROL LU MD
Internal Medicine
3100 KENNARD ST, STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
GEORGIANN MARIE MELTON PSYCHOTHERAPIST
Counselor (Addiction (Substance Use Disorder))
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (612) 356-4634

Frequently Asked Questions

What is HEALTHEAST CARE SYSTEM's NPI number?

The NPI number assigned to this healthcare provider is 1982842290, enumerated as an "organization" on January 23, 2009.

Where is the provider located?

The provider is located at 3100 KENNARD ST 100 MAPLEWOOD, MN 55109 and the phone number is (651) 232-7800.

What is the provider's specialty?

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.