| Allina Health System | |
|
11850 Blackfoot St Nw Ste 130 Coon Rapids MN 55433-2583 | |
| (763) 236-9000 | |
| (763) 236-9010 |
| Full Name | Allina Health System |
|---|---|
| Speciality | Surgery |
| Location | 11850 Blackfoot St Nw Ste 130, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Dominica Tallarico (COO) |
| Authorized Official Contact | 6122222222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 11850 Blackfoot St Nw Ste 130 Coon Rapids MN 55433-2583 Ph: (763) 236-9000 |
| NPI Number | 1649576091 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649576091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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