MINNESOTA ORTHOPAEDIC SURGERY CENTER LLC NPI 1972553741

NPI Information

  • NPI: 1972553741
  • Provider Name: MINNESOTA ORTHOPAEDIC SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 24D0402842
  • Address: 8290 UNIVERSITY AVE NE
    SUITE 100
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 786-0461

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NPI Details

MINNESOTA ORTHOPAEDIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fridley, MN. MINNESOTA ORTHOPAEDIC SURGERY CENTER, LLC NPI is 1972553741. The provider is registered as an organization entity type.

The provider's business location address is:

8290 UNIVERSITY AVE NE
SUITE 100
FRIDLEY, MN
ZIP 55432-847
Phone: (763) 786-0461
Fax: (763) 786-0471

The provider's authorized official is Peter D Holmberg .
The authorized official title is President and has the following contact phone number (763) 786-9543.

The CLIA number assigned to this NPI record is 24D0402842 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/3/2016.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QA1903XClinic/CenterAmbulatory SurgicalHFID#04305MINNESOTAYes

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
1490000028MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2726170500MEDICAIDMINNESOTA
33871660001MEDICARE NSCMINNESOTA
43871660001MEDICARE PIN

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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