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NPI Code Detail

MEDICARE: ALLINA HEALTH SYSTEM

MEDICARE: ALLINA HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1598585242
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLINA HEALTH SYSTEM
Provider Business Mailing Address
First Line : PO BOX 43
Second Line : MAIL ROUTE 10585
City : MINNEAPOLIS
State : MN
Zip : 55440-0042
Country : US
Telephone Number : 612-262-1166
Fax Number :
Provider Business Practice Location Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-863-4000
Fax Number :
Authorized Official
Title or Position : COO
Name : DOMINICA TALLARICO
Credential :
Telephone Number : 612-222-2222
Provider Enumeration Date : 10/16/2024
Last Update Date : 06/24/2026

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Directions to “ALLINA HEALTH SYSTEM ” Practice Location

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