| Allina Health Cottage Grove Clinic | |
|
8611 W Point Douglas Rd S Cottage Grove MN 55016-4005 | |
| (651) 458-1884 | |
| (651) 241-0345 |
| Full Name | Allina Health Cottage Grove Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 8611 W Point Douglas Rd S, Cottage Grove, 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 Cottage Grove Clinic Po Box 43 Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Cottage Grove Clinic 8611 W Point Douglas Rd S Cottage Grove MN 55016-4005 Ph: (651) 458-1884 |
| NPI Number | 1568768919 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120312000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568768919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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