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ALLINA HEALTH SYSTEM NPI 1285930065


NPI Information

NPI: 1285930065
Provider Name: ALLINA HEALTH SYSTEM

Doing Business As: ALLINA HEALTH EAST LAKE STREET CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 24D0401292

Address:
3024 SNELLING AVE S
MINNEAPOLIS, MN
ZIP 55406
Phone: (612) 775-4900
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ALLINA HEALTH SYSTEM is a family medicine in Minneapolis, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALLINA HEALTH SYSTEM NPI is 1285930065. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allina Health East Lake Street Clinic.

The provider's business location address is:

3024 SNELLING AVE S
MINNEAPOLIS, MN
ZIP 55406-911
Phone: (612) 775-4900
Fax: (612) 728-1621

The provider's authorized official is Dominica Tallarico .
The authorized official title is Coo and has the following contact phone number (612) 222-2222.

The CLIA number assigned to this NPI record is 24D0401292 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/27/2011 and was last updated on 3/21/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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