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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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1952343691
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 : 55440-0043
Country : US
Telephone Number : 612-262-1166
Fax Number :
Provider Business Practice Location Address
First Line : 6350 W 143RD ST STE 102
Second Line :
City : SAVAGE
State : MN
Zip : 55378-2890
Country : US
Telephone Number : 952-428-0200
Fax Number :
Authorized Official
Title or Position : COO
Name : DOMINICA TALLARICO
Credential :
Telephone Number : 612-222-2222
Provider Enumeration Date : 06/10/2006
Last Update Date : 02/26/2025

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Directions to “ALLINA HEALTH SYSTEM ” Practice Location

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