NORTH MEMORIAL HEALTH CARE (NPI# 1124064027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124064027 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL HEALTH CARE |
| Other Organization Name | NORTH MEMORIAL CLINIC - RIDGEDALE |
| Practice Address |
2000 Plymouth Rd Ste 100 Minnetonka MN 55305-2334 |
| Practice Telephone | 7635815250 |
| Practice Fax Number | 7635815257 |
| Mailing Telephone | 7635814674 |
| Mailing Fax Number | 7635814561 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | LOREN TAYLOR (CEO) |
| Authorized Official Telephone | 7635814702 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MEMORIAL HEALTH CARE |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 167712800 | 05 | |
| UCARE | 107333 | 01 | |
| MN | BCBS | 17447WA | 01 |
| MEDICA | 9801639 | 01 | |
| PREFERRED ONE | NM103 | 01 | |
| HEALTH PARTNERS | 6204 | 01 |
| Other Name | Type Code |
|---|---|
| North Memorial Clinic - Ridgedale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477934818 | North Memorial Health Care | Clinic/Center | 651 Nicollet Mall Ste 277, Minneapolis, MN 55402-1631 | 2015-06-11 |
| 1619364973 | North Memorial Health Care | Clinic/Center | 965 Prairie Center Dr, Eden Prairie, MN 55344-3671 | 2015-04-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1952732729 | North Memorial Health Care | Clinic/Center | 15450 Highway 7 Ste 100, Minnetonka, MN 55345-3522 | 2013-12-04 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1548434053 | North Memorial Health Care | Clinic/Center | 5615 Xerxes Ave N, Suite D, Brooklyn Center, MN 55430-2819 | 2008-04-15 |
| 1871715136 | North Memorial Health Care | Social Worker | 3366 Oakdale Ave N Ste 315, Robbinsdale, MN 55422-2967 | 2007-05-03 |
| 1437174810 | North Memorial Health Care | Hospice Care, Community Based | 3500 France Ave N, Suite 101, Robbinsdale, MN 55422-2809 | 2006-07-13 |
| 1558392852 | North Memorial Health Care | Clinic/Center | 9855 Hospital Dr Ste 102b, Maple Grove, MN 55369-5021 | 2006-07-05 |
| 1538195912 | North Memorial Health Care | Ambulance | 4501 68th Ave N, Brooklyn Center, MN 55429-1712 | 2006-06-25 |
| Street Address |
2000 PLYMOUTH RD STE 100 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548236110 | William D Turcotte | Family Medicine | 2000 Plymouth Rd Ste 100, Minnetonka, MN 55305-2334 | 2006-02-24 |
| 1336297043 | Eric Harl | Physician Assistant | 2000 Plymouth Rd Ste 100, Minnetonka, MN 55305-2334 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114267093 | Gillette Children's Specialty Healthcare | Clinic/Center | 12400 Whitewater Dr Ste 2030, Minnetonka, MN 55343-4159 | 2013-02-28 |
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|---|---|---|---|---|
| 1245855162 | The Duluth Clinic Ltd | Clinic/Center | 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 | 2020-06-16 |
| 1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
| 1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on NORTH MEMORIAL HEALTH CARE.
| 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.