NORTH MEMORIAL HEALTH CARE (NPI# 1467606673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467606673 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL HEALTH CARE |
| Other Organization Name | NORTH MEMORIAL HEALTH CLINIC - CAMDEN |
| Practice Address |
4209 Webber Pkwy Minneapolis MN 55412-1747 |
| Mailing Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Practice Telephone | 7635815750 |
| Practice Fax Number | 7635815751 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MR. DAN FROMM (VICE PRESIDENT, 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PTAN | C05122 | 01 |
| Other Name | Type Code |
|---|---|
| North Memorial Health Clinic - Camden | 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 |
4209 WEBBER PKWY |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55412-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194791905 | William Youmans | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2006-02-23 |
| 1396242764 | Kyle A Walburg | Pharmacist | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2018-04-11 |
| 1134653074 | Roshini Selladurai | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2017-04-18 |
| 1083029920 | Jessica Jane Kolb | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2014-06-30 |
| 1295150233 | Kayla Ann Frank | Physician Assistant | 4209 Webber Pkwy, Minneapolis, MN 55412 | 2014-02-27 |
| 1710245105 | Cora Walsh | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2012-04-24 |
| 1578725347 | Holly Mary Stenzel Taynton | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1346708138 | Steven Keith Bell | Chiropractor | 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 | 2019-03-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1235676438 | The Helping Hands Mn L.L.C. | Home Health | 860 Blue Gentain Rd, 200, Eagen, MN 55412 | 2017-01-25 |
| 1982070454 | Sylvia Majors | Driver | 3443 Colfax Ave North, Minneapolis, MN 55412 | 2015-08-19 |
| 1962746859 | Maureen Ellis | Social Worker | 4151 Thomas Ave N, Minneapolis, MN 55412 | 2012-11-16 |
| 1770832552 | Mastery School Inc. | Local Education Agency (LEA) | 4021 Thomas Ave N, Minneapolis, MN 55412 | 2012-09-07 |
| 1902171416 | David Anthony Wicklund | Massage Therapist | 2206 44th Ave N, Minneapolis, MN 55412 | 2012-03-16 |
| 1376739656 | Gloria Dean Scales Peterson | Social Worker | 3333 North 4th Street, Minneapolis, MN 55412 | 2007-09-19 |
| 1922173798 | Rodney Allen Lenz | Dentist | 4207 Aldrich Avenue North, Minneapolis, MN 55412 | 2006-11-21 |
| Find all providers in zip 55412 | ||||
| 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 | 55412 |
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.