| Allina Health Shoreview Clinic | |
|
4194 Lexington Ave N Shoreview MN 55126-6106 | |
| (651) 483-5461 | |
| (651) 483-2215 |
| Full Name | Allina Health Shoreview Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4194 Lexington Ave N, Shoreview, 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 Shoreview Clinic Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Shoreview Clinic 4194 Lexington Ave N Shoreview MN 55126-6106 Ph: (651) 483-5461 |
| NPI Number | 1336445071 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120301000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336445071 | NPI | - | NPPES |
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