Healthcare Provider Details

I. General information

NPI: 1013137355
Provider Name (Legal Business Name): REGENTS OF THE UNIVERSITY OF MINNESOTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CHURCH ST SE
MINNEAPOLIS MN
55455-0340
US

IV. Provider business mailing address

410 CHURCH STREET SE
MINNEAPOLIS MN
55455-0346
US

V. Phone/Fax

Practice location:
  • Phone: 612-625-8400
  • Fax: 612-677-3211
Mailing address:
  • Phone: 612-625-8400
  • Fax: 612-677-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARLA SCHARDIN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 612-625-8400