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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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1609481779
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 10860
City : MINNEAPOLIS
State : MN
Zip : 55440-0043
Country : US
Telephone Number : 612-262-1166
Fax Number :
Provider Business Practice Location Address
First Line : 5565 BLAINE AVE STE 100
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-1239
Country : US
Telephone Number : 651-241-9400
Fax Number :
Authorized Official
Title or Position : EVP, CFO
Name : RICHARD MAGNUSON
Credential :
Telephone Number : 612-262-0102
Provider Enumeration Date : 09/15/2020
Last Update Date : 09/13/2023

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Directions to “ALLINA HEALTH SYSTEM ” Practice Location

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