| Allina Health System | |
|
1601 St Francis Ave Ste 100 Shakopee MN 55379-3387 | |
| (952) 428-3535 | |
| (952) 428-3599 |
| Full Name | Allina Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 St Francis Ave, Shakopee, 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 System Po Box 43 Mail Route 10585 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health System 1601 St Francis Ave Ste 100 Shakopee MN 55379-3387 Ph: (952) 428-3535 |
| NPI Number | 1477859486 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 01/23/2025 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120302000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477859486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Allina Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4201 Dean Lakes Blvd Ste 120, Shakopee, MN 55379 Phone: 952-496-6700 Fax: 952-445-6448 | |
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