ALLINA HEALTH SYSTEM (NPI# 1104881911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104881911 |
Entity Type | Organization |
Organization Name | ALLINA HEALTH SYSTEM |
Other Organization Name | CAMBRIDGE MEDICAL CENTER |
Practice Address |
701 Dellwood St S Cambridge MN 55008-1920 |
Mailing Address |
2925 Chicago Ave Mr 10202 Minneapolis MN 55407-1321 |
Practice Telephone | 7636897957 |
Mailing Telephone | 6122621166 |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-09-14 |
Authorized Official Name | KELLY SPRATT (PRESIDENT) |
Authorized Official Telephone | 7636887804 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
Y | 273R00000X | Psychiatric Unit | 330760 | MN | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS OF MN | 1568HME | 01 | |
PREFERREDONE | 01006094 | 01 | |
MEDICA SELECTCARE | 50-00899 | 01 | |
HEALTHPARTNERS | 27332 | 01 | |
MN | 238245802 | 05 | |
MEDICA CHOICE | 50-42005 | 01 |
Other Name | Type Code |
---|---|
Cambridge Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
Street Address |
701 DELLWOOD ST S |
City | CAMBRIDGE |
State | MN |
Zip Code | 55008-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093787152 | Randy A Karger | Ophthalmology | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2006-02-03 |
1629615778 | Elizabeth Horn | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-09 |
1982241170 | Jessica Gunion | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
1629615844 | Darren Vincent Rudeen | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
1881239325 | Lori Lynn Adams | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1923 | 2019-11-07 |
1396386173 | Allina Health System | Psychologist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-10-03 |
1568013118 | Kimberly Jara | Counselor | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-09-25 |
1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
1093270621 | Angelique Ann Creger | Occupational Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-02-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
Find all providers in zip 55008 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215184486 | Corey Todd Levy | Psychiatric Unit | 1493 Cambridge Street, Cambridge, MA 02139 | 2008-08-19 |
1285803213 | Mt Auburn Hospital Dept of Psychiatry | Psychiatric Unit | 330 Mount Auburn St, Clark 1, Cambridge, MA 02138-5502 | 2008-02-25 |
1770789216 | Cambridge Health Alliance | Psychiatric Unit | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-06-22 |
1447348313 | Cambridge Public Health Commission | Psychiatric Unit | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-10-10 |
1285694091 | Shore Health System, Inc | Psychiatric Unit | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-03-24 |
1649254491 | Mount Auburn Hospital | Psychiatric Unit | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376150235 | Larry Vernon Elj | Psychiatric Unit | 516 South Pokegama Ave, Grand Rapids, MN 55744-3800 | 2020-09-25 |
1255635934 | University of Minnesota Medical Center, Fairview Riverside | Psychiatric Unit | 2414 Riverside Avenue, Adolescent Day Treatment Unit 7ae, Minneapolis, MN 55454 | 2011-01-10 |
1619934627 | St. Cloud Hospital | Psychiatric Unit | 1406 6th Ave North, Saint Cloud, MN 56303-1900 | 2006-04-26 |
1174168652 | Regions Hospital | Psychiatric Unit | 640 Jackson St, Saint Paul, MN 55101-2502 | 2019-11-08 |
1003353202 | Centracare Health System-nr LLC | Psychiatric Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-01-25 |
1003266321 | Healtheast St Josephs Hospital | Psychiatric Unit | 45 10th St W, Saint Paul, MN 55102-1062 | 2016-06-17 |
1306273842 | Allina Health System | Psychiatric Unit | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2013-09-30 |
1528311636 | Ridgeview Medical Center | Psychiatric Unit | 500 S Maple St, Waconia, MN 55387-1752 | 2012-10-26 |
1336443225 | Upside Psychiatric | Psychiatric Unit | 1526 30th St Nw, Bemidji, MN 56601-4140 | 2011-01-06 |
1932419058 | St. Cloud Hospital | Psychiatric Unit | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2010-10-08 |
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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.