INFINITE HEALTH COLLABORATIVE, PA (NPI# 1265937213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265937213 |
| Entity Type | Organization |
| Organization Name | INFINITE HEALTH COLLABORATIVE, PA |
| Practice Address |
11225 Ulysses St Ne Blaine MN 55434-4261 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 7633022600 |
| Practice Fax Number | 7633022601 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | TROY SIMONSON (CEO) |
| Authorized Official Telephone | 9525125639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306226576 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1715 Tower Dr W, Suite 100, Stillwater, MN 55082-7583 | 2015-06-03 |
| 1568840916 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Suite 100, Hudson, WI 54016-7848 | 2015-05-18 |
| 1407249477 | Infinite Health Collaborative, Pa | Exclusive Provider Organization | 6754 Valley View Rd, Edina, MN 55439-1761 | 2015-03-14 |
| 1619051422 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 | 2006-10-25 |
| 1497837249 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2222 | 2006-10-20 |
| 1164474250 | Infinite Health Collaborative, Pa | Family Medicine | 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 | 2006-05-17 |
| 1568098226 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1830 Hanley Rd, Hudson, WI 54016-9368 | 2020-03-13 |
| 1629576467 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2018-01-26 |
| 1730554098 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 310 Smith Ave N, Suite 330, Saint Paul, MN 55102-2393 | 2015-12-11 |
| 1932587383 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 8650 Hudson Blvd N, Suite 100, Lake Elmo, MN 55042-9747 | 2015-05-18 |
| Street Address |
11225 ULYSSES ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338137 | Sarah J Jenks | Physical Therapist | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2006-07-16 |
| 1346847597 | Mark Steven Weigand | Physical Therapist | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2020-10-01 |
| 1568005619 | Mark Ryan Tollefsrud | Physical Therapist | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2019-10-22 |
| 1013447499 | Samuel John Arnold | Physical Therapist | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2017-06-18 |
| 1508007667 | Amanda L Tschida-schirmers | Occupational Therapist | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2009-03-18 |
| 1669563292 | Crystal Dawn Tainter | Physical Therapist | 11225 Ulysses St Ne, Blaine, MN 55434-4261 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| Find all providers in zip 55434 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681958 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 10881 University Ave Ne, Blaine, MN 55434 | 2016-10-28 |
| 1205273984 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 11505 Ulysses St Ne, Blaine, MN 55434-4239 | 2013-06-04 |
| 1952603862 | Wellness Diabetes Care LLC | Durable Medical Equipment & Medical Supplies | 11005 Tyler St Ne, Blaine, MN 55434-4535 | 2010-11-29 |
| 1255574430 | Superior Medical Services Inc | Durable Medical Equipment & Medical Supplies | 10995 Club West Pkwy, Suite 500, Blaine, MN 55449-5058 | 2009-04-17 |
| 1750566287 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10905 Ulysses St Ne, Blaine, MN 55434-3827 | 2008-01-03 |
| 1093824302 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1195 Boblett Street, Blaine, WA 98230-5157 | 2006-08-30 |
| 1043326457 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 12595 Central Ave Ne, Blaine, MN 55434 | 2006-08-21 |
| 1225143365 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 585 Northtown Dr Ne, Blaine, MN 55434 | 2006-08-20 |
| 1649385782 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 4205 Pheasant Ridge Dr Ne, Blaine, MN 55449-4529 | 2006-08-20 |
| 1124033352 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 600 County Road 10 Ne, Blaine, MN 55434-2329 | 2006-07-29 |
| Find all providers in BLAINE | ||||
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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.