PARK NICOLLET CLINIC NPI 1912315144

NPI Information

  • NPI: 1912315144
  • Provider Name: PARK NICOLLET CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: HEALTH & WELL-BEING CENTER
  • CLIA Number: 24D0668603
  • Address: 1000 NICOLLET MALL
    TPS 260
    MINNEAPOLIS, MN
    ZIP 55403
  • Phone: (952) 977-0700

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NPI Details

PARK NICOLLET CLINIC 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. PARK NICOLLET CLINIC NPI is 1912315144. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Health & Well-being Center.

The provider's business location address is:

1000 NICOLLET MALL
TPS 260
MINNEAPOLIS, MN
ZIP 55403-542
Phone: (952) 977-0700

The provider's authorized official is Jason James Luhrs .
The authorized official title is Vp Finance and has the following contact phone number (952) 883-7158.

The CLIA number assigned to this NPI record is 24D0668603 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 10/25/2021.

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
1111N00000XChiropractorNo
2207VX0000XObstetrics & GynecologyObstetricsNo
3208000000XPediatricsNo
4207Q00000XFamily 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: 11/21/2025

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