| Allina Health Bandana Square Clinic | |
|
1021 Bandana Blvd E Ste 100 St Paul MN 55108-5109 | |
| (651) 241-9700 | |
| Not Available |
| Full Name | Allina Health Bandana Square Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1021 Bandana Blvd E, St Paul, Minnesota |
| Authorized Official Name and Position | Dominica Tallarico (COO) |
| Authorized Official Contact | 6122222222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allina Health Bandana Square Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Bandana Square Clinic 1021 Bandana Blvd E Ste 100 St Paul MN 55108-5109 Ph: (651) 241-9700 |
| NPI Number | 1023314804 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20111216000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023314804 | NPI | - | NPPES |
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