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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: August 09, 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 11

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

KARIN E DETIENNE
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5447
MRS. ALYSSA RAE WILLIAMS LPN
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5420
HAVONA MOORE
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5456
ANGELA ROESER LPN
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 747-4652
MORGAN MCKINLEY
Licensed Practical Nurse
3100 KENNARD ST
MAPLEWOOD, MN 55109
Ramsey County (651) 225-5420
THOMAS GROVE WILSON CNP
Nurse Practitioner (Primary Care)
3100 KENNARD ST, SUITE 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
DR. KENT DAVIS BERGH M.D.
Family Medicine
3100 KENNARD ST, SUITE 100 HEALTHEAST PHYSICIAN SERVICE,
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800

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 1982842290. It was assigned to this organization in the NPPES registry on January 23, 2009. The provider is doing business as Healtheast - Maplewood.

Where is Healtheast Care System located?

Healtheast Care System is located at 3100 Kennard St 100, Maplewood, MN 55109. The listed phone number is (651) 232-7800.

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.