HENNEPIN HEALTHCARE SYSTEM, INC (NPI# 1033138136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033138136 |
| Entity Type | Organization |
| Organization Name | HENNEPIN HEALTHCARE SYSTEM, INC |
| Other Organization Name | HENNEPIN COUNTY MEDICAL CENTER |
| Practice Address |
701 Park Ave P1-finance Minneapolis MN 55415-1623 |
| Practice Telephone | 6128733000 |
| Practice Fax Number | 6129044259 |
| Mailing Telephone | 6128733000 |
| Mailing Fax Number | 6129044259 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. DERRICK HOLLINGS (CFO) |
| Authorized Official Telephone | 6128735340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 367142 | MN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | EMPLOYER IDENTIFICATION N | 41-6005801 | 01 |
| MN | BLUE CROSS | 1020HHE | 01 |
| MN | BLUE SHIELD | 64788HE | 01 |
| MN | 157245801 | 05 | |
| MN | BLUE SHIELD | 06922HE | 01 |
| Other Name | Type Code |
|---|---|
| Hennepin County Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914333 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne Ste 100, Minneapolis, MN 55413-2648 | 2017-10-25 |
| 1407897309 | Hennepin Healthcare System, Inc | Ambulance | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2006-06-10 |
| 1639543036 | Hennepin Healthcare System, Inc | Hospice Care, Community Based | 2000 Summer St Ne, Suite 100, Minneapolis, MN 55413-2648 | 2015-11-23 |
| 1770957219 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne, Suite 100, Minneapolis, MN 55413-2648 | 2015-11-20 |
| 1710313895 | Hennepin Healthcare System, Inc | Clinic/Center | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2013-09-19 |
| 1528361573 | Hennepin Healthcare System, Inc | Clinic/Center | 300 S 6th St, Government Center-a 120, Minneapolis, MN 55487-0070 | 2010-12-14 |
| 1730495003 | Hennepin Healthcare System, Inc | Clinic/Center | 715 E 78th St, Bloomington, MN 55420-1397 | 2010-08-25 |
| 1356369524 | Hennepin Healthcare System, Inc | Psychiatric Unit | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2006-07-17 |
| Street Address |
701 PARK AVE P1-FINANCE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387734 | David C Templeman | Orthopaedic Surgery | 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 | 2005-06-23 |
| 1164029336 | James Wayne Fisher | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-10-01 |
| 1396351482 | Emily Ann Beck | Physical Therapist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-23 |
| 1932714524 | Manju Elizabeth Alexander | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-10 |
| 1043838675 | Ayan Hashi | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-07-09 |
| 1366068561 | Roberto Emilio Fu Carrasco | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-06-23 |
| 1104448810 | Michael Berryman | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-15 |
| 1811519192 | Viktoriya A. Ishchuk | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-10 |
| 1861014235 | Abdurahman Salah Ibrahim | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-08 |
| 1962024430 | Timothy Baerg | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063793503 | Anthony Abeln | Rehabilitation Unit | 800 E 28th St, Minneapolis, MN 55407-3723 | 2011-08-29 |
| 1679537666 | Allina Health System | Rehabilitation Unit | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-04-14 |
| 1851378038 | Fairview Health Services | Rehabilitation Unit | 2512 S 7th St, 5th Floor, Minneapolis, MN 55454-1404 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721895 | Grant Davis Mitchell | Rehabilitation Unit | 1412 Iowa Ave W, Falcon Heights, MN 55108-2124 | 2016-10-21 |
| 1164766010 | Hiawatha Clinic Center LLC | Rehabilitation Unit | 2275 Snelling Ave N Apt 309, Roseville, MN 55113-4285 | 2012-11-15 |
| 1376835108 | In Motion Chiropractic and Fitness Center | Rehabilitation Unit | 1161 Wayzata Blvd E # 170, Wayzata, MN 55391-1935 | 2011-05-12 |
| 1639492853 | Teri Kristina Schueller | Rehabilitation Unit | 29157 250th St, Wabasso, MN 56293-1271 | 2010-03-02 |
| 1821337148 | Centracare Health System-nr LLC | Rehabilitation Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-02-06 |
| 1780923185 | Park Nicollet Clinic-st Louis Park | Rehabilitation Unit | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2013-02-05 |
| 1184969313 | River's Edge Therap, LLC | Rehabilitation Unit | 10557 W River Rd, Brooklyn Park, MN 55443-1231 | 2012-11-28 |
| 1457650327 | Empower Physical Therapy | Rehabilitation Unit | 8160 Coller Way, Suite #c, Woodbury, MN 55125-3600 | 2011-03-18 |
| 1598902470 | Monticello-big Lake Hospital | Rehabilitation Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2009-01-14 |
| 1952406324 | Sanford Health of Northern Minnesota | Rehabilitation Unit | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
Please comment or provide details below to improve the information on HENNEPIN HEALTHCARE SYSTEM, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.