ALLINA HEALTH SYSTEM NPI 1104122555

NPI Information

  • NPI: 1104122555
  • Provider Name: ALLINA HEALTH SYSTEM
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: ALLINA HEALTH CHASKA CLINIC
  • CLIA Number: 24D0400118
  • Address: 111 HUNDERTMARK RD STE 220
    CHASKA, MN
    ZIP 55318
  • Phone: (952) 448-2050

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NPI Details

ALLINA HEALTH SYSTEM is a clinic center in Chaska, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ALLINA HEALTH SYSTEM NPI is 1104122555. The provider is registered as an organization entity type.
The provider Is Doing Business As Allina Health Chaska Clinic.

The provider's business location address is:

111 HUNDERTMARK RD STE 220
CHASKA, MN
ZIP 55318-197
Phone: (952) 448-2050
Fax: (952) 448-5952

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 24D0400118 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2011 and was last updated on 1/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 11/21/2025

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