COLUMBIA PARK MEDICAL GROUP PA NPI 1336246735

NPI Information

NPI: 1336246735
Provider Name: COLUMBIA PARK MEDICAL GROUP, PA

Other Name: CPMG-FRIDLEY PLAZA CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6341 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 572-5710
Get Directions

COLUMBIA PARK MEDICAL GROUP, PA is a multi-specialty clinic center in Fridley, MN. COLUMBIA PARK MEDICAL GROUP, PA NPI is 1336246735. The provider is registered as an organization entity type.
The provider Other Name Is Cpmg-fridley Plaza Clinic.

The provider's business location address is:

6341 UNIVERSITY AVE NE
FRIDLEY, MN
ZIP 55432-946
Phone: (763) 572-5710
Fax: (763) 586-5888

The provider's authorized official is Joen V Condon .
The authorized official title is Chief Financial Officer and has the following contact phone number (763) 586-5839.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/13/2007.

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
1	261QM1300X	Clinic/Center	Multi-Specialty		MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	610	OTHER	MINNESOTA	HEALTHPARTNERS
2	UC0002	OTHER	MINNESOTA	UCARE URGENT CARE
3	98-66093	OTHER	MINNESOTA	MEDICA URGENT CARE
4	0463570003	MEDICARE NSC	MINNESOTA
5	104021	OTHER	MINNESOTA	UCARE MN
6	02071BR	OTHER	MINNESOTA	BCBS OF MN
7	98-01409	OTHER	MINNESOTA	MEDICA CLINIC NUMBER
8	CT1003	OTHER	MINNESOTA	MEDICARE RAILROAD
9	C00028	MEDICARE PIN	MINNESOTA

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

NPI Synchronization or Removal

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