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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
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1497054415
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLINA HEALTH SYSTEM
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line : ROUTE 10585
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-1166
Fax Number : 612-262-4258
Provider Business Practice Location Address
First Line : 2800 CHICAGO AVE STE 250
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1355
Country : US
Telephone Number : 612-863-4096
Fax Number : 612-775-9800
Authorized Official
Title or Position : COO
Name : DOMINICA TALLARICO
Credential :
Telephone Number : 612-222-2222
Provider Enumeration Date : 03/16/2011
Last Update Date : 02/24/2025

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Directions to “ALLINA HEALTH SYSTEM ” Practice Location

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