NORTH MEMORIAL HEALTH CARE (NPI# 1144559535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144559535 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL HEALTH CARE |
| Other Organization Name | NORTH MEMORIAL HEALTH CLINIC - ST ANTHONY |
| Practice Address |
2600 39th Ave Ne Minneapolis MN 55421-4379 |
| Practice Telephone | 7635815500 |
| Practice Fax Number | 7635815501 |
| Mailing Telephone | 7635812273 |
| Mailing Fax Number | 7635815501 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DAN FROMM (VP, CFO) |
| Authorized Official Telephone | 7635814614 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MEMORIAL HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Memorial Health Care - St Anthony | Doing Business As Name - Organization |
| North Memorial Health Clinic - Blaine South | Doing Business As Name - Organization |
| North Memorial Health Clinic - St Anthony | 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 |
2600 39TH AVE NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55421-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834302 | Fairview Express Care | Clinic/Center | 2600 39th Ave Ne, Ste 220, Minneapolis, MN 55421-4379 | 2006-01-03 |
| 1477820405 | Jennifer Patricia Gray | Physician Assistant | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2011-11-18 |
| 1023309549 | Pdg, P.a. | Clinic/Center | 2600 39th Ave Ne, 225, Minneapolis, MN 55421-4379 | 2011-05-02 |
| 1326376906 | Elizabeth Faith Baker | Physician Assistant | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2009-11-19 |
| 1528212230 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2008-11-07 |
| 1447424692 | Urology Associates, Ltd. | Urology | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2008-04-18 |
| 1972784668 | Calandra D Theisen | Podiatrist | 2600 39th Ave Ne, Suite 250, Minneapolis, MN 55421-4379 | 2007-11-21 |
| 1790868404 | Danny R Dunsworth | Family Medicine | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2006-10-24 |
| 1750461547 | Diana C Liu | Family Medicine | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2006-10-16 |
| 1013097815 | Patrick D Loew | Physician Assistant | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
| 1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
| 1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
| 1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
| 1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
| 1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| Find all providers in zip 55421 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1477934818 | North Memorial Health Care | Clinic/Center | 651 Nicollet Mall Ste 277, Minneapolis, MN 55402-1631 | 2015-06-11 |
| 1861621542 | Mitchell Pincus | Clinic/Center | 5120 France Ave S, Apt 203, Minneapolis, MN 55410-2022 | 2009-07-02 |
| 1558408161 | University of Minnesota Physicians | Clinic/Center | 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 | 2007-01-31 |
| 1255939716 | Kingsley Clinic of Minnesota, Pllc | Clinic/Center | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2020-10-15 |
| 1831601152 | House of Opportunity | Clinic/Center | 1813 S 6th St Ste 101, Minneapolis, MN 55454-1208 | 2017-10-26 |
| 1922510445 | Metro Social Services | Clinic/Center | 1813 S 6th St Ste 101, Minneapolis, MN 55454-1208 | 2017-10-25 |
| 1710428347 | Allina Health System | Clinic/Center | 9300 Noble Pkwy N, Minneapolis, MN 55443-5500 | 2017-03-15 |
| 1982158044 | Medical Care Innovation, P.C. | Clinic/Center | 1 General Mills Blvd, Quad Med, Minneapolis, MN 55426-1347 | 2016-08-06 |
| 1730586819 | University of Minnesota Physicians | Clinic/Center | 814 South 3rd St, Minneapolis, MN 55415 | 2014-12-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55421 |
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.