POPULATION HEALTH MANAGEMENT PC NPI 1306518303

NPI Information

  • NPI: 1306518303
  • Provider Name: POPULATION HEALTH MANAGEMENT PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 4142 SHORELINE DR
    SPRING PARK, MN
    ZIP 55384
  • Phone: (866) 305-0622

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NPI Details

POPULATION HEALTH MANAGEMENT PC is a primary care clinic center in Spring Park, MN. POPULATION HEALTH MANAGEMENT PC NPI is 1306518303. The provider is registered as an organization entity type.

The provider's business location address is:

4142 SHORELINE DR
SPRING PARK, MN
ZIP 55384-629
Phone: (866) 305-0622

The provider's authorized official is Damon Kenton .
The authorized official title is Ceo and has the following contact phone number (612) 470-0044.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 9/29/2021.

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
1261QP2300XClinic/CenterPrimary CareYes

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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