Provider Demographics
NPI:1215632443
Name:REGNER HEALTH SOLUTIONS
Entity type:Organization
Organization Name:REGNER HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:REGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-343-7982
Mailing Address - Street 1:5270 W 84TH ST STE 420
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1378
Mailing Address - Country:US
Mailing Address - Phone:612-895-7721
Mailing Address - Fax:
Practice Address - Street 1:5270 W 84TH ST STE 420
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-1378
Practice Address - Country:US
Practice Address - Phone:612-895-7721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service