NORTH MEMORIAL HEALTH CARE (NPI# 1154786283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154786283 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL HEALTH CARE |
| Other Organization Name | CRYSTAL IMAGING, LLC |
| Practice Address |
5700 Bottineau Blvd Crystal MN 55429-3183 |
| Mailing Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Practice Telephone | 7633986040 |
| Mailing Telephone | 7635205200 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | DAN FROMM (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7635814614 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MEMORIAL HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crystal Imaging, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477934818 | North Memorial Health Care | Clinic/Center | 651 Nicollet Mall Ste 277, Minneapolis, MN 55402-1631 | 2015-06-11 |
| 1619364973 | North Memorial Health Care | Clinic/Center | 965 Prairie Center Dr, Eden Prairie, MN 55344-3671 | 2015-04-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1952732729 | North Memorial Health Care | Clinic/Center | 15450 Highway 7 Ste 100, Minnetonka, MN 55345-3522 | 2013-12-04 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1548434053 | North Memorial Health Care | Clinic/Center | 5615 Xerxes Ave N, Suite D, Brooklyn Center, MN 55430-2819 | 2008-04-15 |
| 1871715136 | North Memorial Health Care | Social Worker | 3366 Oakdale Ave N Ste 315, Robbinsdale, MN 55422-2967 | 2007-05-03 |
| 1437174810 | North Memorial Health Care | Hospice Care, Community Based | 3500 France Ave N, Suite 101, Robbinsdale, MN 55422-2809 | 2006-07-13 |
| 1558392852 | North Memorial Health Care | Clinic/Center | 9855 Hospital Dr Ste 102b, Maple Grove, MN 55369-5021 | 2006-07-05 |
| 1538195912 | North Memorial Health Care | Ambulance | 4501 68th Ave N, Brooklyn Center, MN 55429-1712 | 2006-06-25 |
| Street Address |
5700 BOTTINEAU BLVD |
| City | CRYSTAL |
| State | MN |
| Zip Code | 55429-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184533 | Ofer Barniv | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2015-09-15 |
| 1326462292 | Sara Lynn Budhoo | Physician Assistant | 5700 Bottineau Blvd, Crystal, MN 55429 | 2014-02-12 |
| 1407289754 | Lisa Hoium | Physical Therapist | 5700 Bottineau Blvd, Suite 200, Crystal, MN 55429-3183 | 2013-08-09 |
| 1760733752 | Elizabeth Janet Albright | Family Medicine | 5700 Bottineau Blvd, Suite #100, Crystal, MN 55429-3183 | 2012-10-01 |
| 1124377825 | Kimberly Ann Plessel | Dietitian, Registered | 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429-3183 | 2012-09-10 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1194950303 | Ruby Waiyee Tam | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2009-05-18 |
| 1316111768 | Jennifer J. Riley | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2008-04-16 |
| 1437354099 | Matthew Michael Palmer | Obstetrics & Gynecology | 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429 | 2007-06-15 |
| 1346329174 | Charet Jean Pelkey | Physical Therapist | 5700 Bottineau Blvd, #210, Crystal, MN 55429 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1740519933 | Mri School of Minnesota, LLC | Clinic/Center | 6053 Hudson Rd Ste 265, Woodbury, MN 55125-1000 | 2009-12-17 |
| 1093994030 | Children's Health Care | Clinic/Center | 2525 Chicago Ave. S., Minneapolis, MN 55404-4518 | 2007-10-26 |
| 1679601553 | Stand Up Mid America Mri, P.a. | Clinic/Center | 604 Lilac Dr N, Suite 100, Golden Valley, MN 55422-4610 | 2007-03-01 |
| 1184675670 | Cardiac Evaluation Services Inc | Clinic/Center | 8441 Wayzata Blvd, Golden Valley, MN 55426 | 2006-05-12 |
| 1629027594 | Suburban Radiologic Consultants, Ltd. | Clinic/Center | 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-5511 | 2006-05-09 |
| 1194725044 | Arrowhead Consultation Service Ltd | Clinic/Center | 415 Se 13th St, Suite 101, Grand Rapids, MN 55744-4248 | 2005-07-21 |
| 1396748307 | Lifescan Minnesota LLC | Clinic/Center | 3955 Parklawn Ave, Ste 110, Edina, MN 55435-5657 | 2005-05-23 |
| 1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
| 1154834091 | Noble Imaging Center, LLC | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2017-11-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.