NORTH MEMORIAL HEALTH CARE (NPI# 1538408943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538408943 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL HEALTH CARE |
| Other Organization Name | NORTH MEMORIAL HEALTH URGENCY CENTER BLAINE |
| Practice Address |
11855 Ulysses St Ne Blaine MN 55434-3947 |
| Practice Telephone | 7635810911 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2020-07-09 |
| 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 | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Memorial Health Urgency Center | Doing Business As Name - Organization |
| North Memorial Health Urgency Center Blaine | Doing Business As Name - Organization |
| North Memorial Urgency Center | 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 |
11855 ULYSSES ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893066 | Stacy L Noyes | Obstetrics & Gynecology | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2005-12-29 |
| 1427606896 | David Moga | Physical Therapist | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2019-08-29 |
| 1336675560 | North Memorial Health Care | Clinic/Center | 11855 Ulysses St Ne, #110, Blaine, MN 55434-3947 | 2017-05-09 |
| 1811361603 | Pamela Rhiel | Nurse Practitioner | 11855 Ulysses St Ne, Suite 250, Blaine, MN 55434-3947 | 2015-11-17 |
| 1629405931 | Rachel Sinnen | Physician Assistant | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-10-01 |
| 1942547096 | Blaine Urgency Center, LLC | Clinic/Center | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-01-09 |
| 1467735407 | Carly L. Mattson | Physical Therapist | 11855 Ulysses St Ne, Ste 20, Blaine, MN 55434-3947 | 2011-09-26 |
| 1538497276 | Lori Jean Treb | Dietitian, Registered | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2009-11-18 |
| 1760616031 | Blaine Mn Multi Specialty Asc LLC | Clinic/Center | 11855 Ulysses St Ne, Suite 270, Blaine, MN 55434-3947 | 2009-05-14 |
| 1144462219 | Lakeland Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 11855 Ulysses St Ne, Suite 205 and Suite 210, Blaine, MN 55434-3947 | 2009-04-03 |
| Find all providers in the same location | ||||
| 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 | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942547096 | Blaine Urgency Center, LLC | Clinic/Center | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194930040 | Emcare | Clinic/Center | Phs Indian Hospital Hwy 1 Po 497, Red Lake, MN 56671 | 2007-05-14 |
| 1336495068 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2012-07-31 |
| 1659459931 | Pine Medical Center | Clinic/Center | 109 Court Ave S, Sandstone, MN 55072-5120 | 2006-11-02 |
| 1639262785 | Childrens Health Care | Clinic/Center | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-10-02 |
| 1134228000 | Childrens Health Care | Clinic/Center | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| 1013933936 | St. Mary's Medical Center | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-07-14 |
| 1457393035 | St Marys Medical Center | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-06-11 |
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.