ALLINA HEALTH SYSTEM (NPI# 1285930065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285930065 |
| Entity Type | Organization |
| Organization Name | ALLINA HEALTH SYSTEM |
| Other Organization Name | ALLINA HEALTH EAST LAKE STREET CLINIC |
| Practice Address |
3024 Snelling Ave S Minneapolis MN 55406-1911 |
| Mailing Address |
2925 Chicago Ave Mr 10202 Minneapolis MN 55407-1321 |
| Practice Telephone | 6127754900 |
| Practice Fax Number | 6127281621 |
| Mailing Telephone | 6122621166 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | RICHARD MAGNUSON (CFO) |
| Authorized Official Telephone | 6122621020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Allina Health East Lake Street Clinic | Doing Business As Name - Organization |
| 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 |
3024 SNELLING AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| 1902209687 | Elaine May | Family Medicine | 2861 Burnham Blvd, Minneapolis, MN 55416-4331 | 2014-10-08 |
| 1952741050 | Gregory Olszewski | Family Medicine | 19 S 1st St Apt B2603, Minneapolis, MN 55401-1845 | 2013-07-03 |
| 1881940864 | Isaac Milton Engholm | Family Medicine | 825 Nicollet Mall Ste 403, Minneapolis, MN 55402-2611 | 2012-07-27 |
| 1942572763 | Neighborhood Healthsource | Family Medicine | 1015 4th Avenue North, Suite 201, Minneapolis, MN 55405-1178 | 2012-02-09 |
| 1225323371 | Yun Chau Bernice Lee | Family Medicine | 2823 Dean Pkwy, Minneapolis, MN 55416-4401 | 2011-06-16 |
| 1730487208 | Specialized Medical Response, LLC | Family Medicine | 401 Harding St Ne #100, Minneapolis, MN 55413 | 2011-03-08 |
| 1013226844 | Corban Health Care, Pllc | Family Medicine | 5141 36th Ave S, Minneapolis, MN 55417-1518 | 2010-09-28 |
| 1255651808 | Praveen Tupakula Ramesh | Family Medicine | 2810 Nicollet Avenue, Minneapolis, MN 55408 | 2010-06-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
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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.