| Allina Health Highland Park Clinic | |
|
2120 Ford Pkwy St Paul MN 55116-1863 | |
| (651) 241-9600 | |
| (651) 241-9593 |
| Full Name | Allina Health Highland Park Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Ford Pkwy, 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 Highland Park Clinic Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Highland Park Clinic 2120 Ford Pkwy St Paul MN 55116-1863 Ph: (651) 241-9600 |
| NPI Number | 1457657231 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120301000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457657231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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