ALLINA HEALTH SYSTEM (NPI# 1285692145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285692145 |
| Entity Type | Organization |
| Organization Name | ALLINA HEALTH SYSTEM |
| Other Organization Name | MERCY HOSPITAL |
| Practice Address |
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522 |
| Mailing Address |
2925 Chicago Ave Mr 10202 Minneapolis MN 55407-1321 |
| Practice Telephone | 7632366000 |
| Mailing Telephone | 6122621166 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | SARA CRIGER (PRESIDENT) |
| Authorized Official Telephone | 7632368205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | 4201 | 01 |
| MEDICA CHOICE | 50-10604 | 01 | |
| MN | 1141KUN | 1141KUN | 01 |
| Other Name | Type Code |
|---|---|
| Allina Health Inpatient Addiction Treatment -Mercy Hospital -Unity Campus | Doing Business As Name - Organization |
| Mercy Hospital | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Osborne Rd Ne, Fridley, MN 554322718 | 7632365000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
| Street Address |
4050 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126238 | Adam Lee Gunder | Internal Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2005-07-05 |
| 1215547757 | Jeremy Lee Coudron | Nurse Practitioner | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-08-07 |
| 1851915177 | Naomi Benjamin | Clinical Nurse Specialist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-06-02 |
| 1912527920 | Dawn Hadley | Physical Therapy Assistant | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-20 |
| 1275153348 | Tyler Daniel Mathiason | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-20 |
| 1003436346 | Jennifer Gordon Hakes | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-16 |
| 1821617739 | Krista Michelle Holter | Speech-Language Pathologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
| 1508485459 | Kristin Dianne Forsythe | Physical Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-10 |
| 1134748338 | Denise Kay Kaehler | Physical Therapy Assistant | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| 1942829148 | Kelsey Steinbrecher | Occupational Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962961599 | Wecare LLC | Rehabilitation, Substance Use Disorder Unit | 2241 Roosevelt Rd Ste 14, Saint Cloud, MN 56301-4536 | 2019-03-13 |
| 1376013953 | Complete Assessments LLC | Rehabilitation, Substance Use Disorder Unit | 340 5th Ave Sw, Hutchinson, MN 55350 | 2018-11-27 |
| 1912338666 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 1428 2nd St N, Sauk Rapids, MN 56379-2533 | 2013-12-06 |
| 1811150618 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 1564 Cty Rd 134, St Cloud, MN 56303-0346 | 2008-07-02 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1295124535 | Buffalo Hospital | Rehabilitation, Substance Use Disorder Unit | 101 14th St Ne Ste A, Buffalo, MN 55313-2966 | 2015-01-09 |
| 1467615294 | St. Cloud Hospital | Rehabilitation, Substance Use Disorder Unit | 713 Anderson Ave, Saint Cloud, MN 56303-2048 | 2008-07-02 |
| 1013194729 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-01-24 |
| 1346437720 | Allina Health System | Rehabilitation, Substance Use Disorder Unit | 1324 5th St N, New Ulm, MN 56073-1514 | 2007-09-28 |
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.