HENNEPIN HEALTHCARE SYSTEM, INC (NPI# 1730495003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730495003 |
Entity Type | Organization |
Organization Name | HENNEPIN HEALTHCARE SYSTEM, INC |
Other Organization Name | HENNEPIN COUNTY MEDICAL CENTER |
Practice Address |
715 E 78th St Bloomington MN 55420-1397 |
Mailing Address |
701 Park Ave P1-finance Minneapolis MN 55415-1623 |
Practice Telephone | 6128737644 |
Practice Fax Number | 9528541272 |
Mailing Telephone | 6128733000 |
Mailing Fax Number | 6129044259 |
Enumeration Date | 2010-08-25 |
Last Update Date | 2014-10-29 |
Authorized Official Name | MR. LARRY A KRYZANIAK (CFO) |
Authorized Official Telephone | 6128739290 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | 367063 | MN | Ambulatory Health Care Facilities |
Y | 261Q00000X | Clinic/Center | 367142 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 157245800 | 05 |
Other Name | Type Code |
---|---|
Hennepin County Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962914333 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne Ste 100, Minneapolis, MN 55413-2648 | 2017-10-25 |
1407897309 | Hennepin Healthcare System, Inc | Ambulance | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2006-06-10 |
1639543036 | Hennepin Healthcare System, Inc | Hospice Care, Community Based | 2000 Summer St Ne, Suite 100, Minneapolis, MN 55413-2648 | 2015-11-23 |
1770957219 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne, Suite 100, Minneapolis, MN 55413-2648 | 2015-11-20 |
1710313895 | Hennepin Healthcare System, Inc | Clinic/Center | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2013-09-19 |
1528361573 | Hennepin Healthcare System, Inc | Clinic/Center | 300 S 6th St, Government Center-a 120, Minneapolis, MN 55487-0070 | 2010-12-14 |
1033138136 | Hennepin Healthcare System, Inc | Rehabilitation Unit | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2006-07-19 |
1356369524 | Hennepin Healthcare System, Inc | Psychiatric Unit | 701 Park Ave, P1-finance, Minneapolis, MN 55415-1623 | 2006-07-17 |
Street Address |
715 E 78TH ST |
City | BLOOMINGTON |
State | MN |
Zip Code | 55420-1397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407865223 | Nancy Pickett | Nurse Practitioner | 715 E 78th St, Hcmc Walmart Retail Clinic-bloomington, Bloomington, MN 55420-1397 | 2006-08-08 |
1346735198 | Holly Rose Langer | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2018-06-25 |
1386082394 | Elias Graham Keith | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2013-06-12 |
1578856043 | Anita Marie Wood | Nurse Practitioner | 715 E 78th St, Bloomington, MN 55420-1397 | 2011-05-17 |
1568624195 | Jessica Loehr | Optometrist | 715 E 78th St, Bloomington, MN 55420-1397 | 2008-06-25 |
1992991426 | Hadden Eyecare Associates | Optometrist | 715 E 78th St, C/o Wal-mart Vision Center, Bloomington, MN 55420-1397 | 2007-09-18 |
1174728331 | Gloria Elaine Deones | Physician Assistant | 715 E 78th St, Bloomington, MN 55420-1397 | 2007-06-18 |
1811077191 | Wal-mart Stores, Inc. | Technician/Technologist | 715 E 78th St, Bloomington, MN 55420-1397 | 2006-10-17 |
1144339979 | Scott D Hadden | Optometrist | 715 E 78th St, Bloomington, MN 55420 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
Find all providers in zip 55420 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
1922518463 | Kids Play Sensory Gym LLC | Clinic/Center | 2010 S Yost Ave, Bloomington, IN 47403-3188 | 2017-10-11 |
1508146515 | Lifeview Care Co, Pllc | Clinic/Center | 3600 American Blvd W Ste 225, Bloomington, MN 55431-1079 | 2011-08-22 |
1356639058 | Lifeview Care,pllc | Clinic/Center | 3600 American Blvd W, Suite 225, Bloomington, MN 55431-1079 | 2011-07-14 |
1962646786 | Carolyn Marion Smith | Clinic/Center | 3620 N Lauren Ln, Bloomington, IN 47404-9206 | 2009-04-23 |
1598225328 | Action for East African People Afeap | Clinic/Center | 3701 W Old Shakopee Rd, Bloomington, MN 55431-3555 | 2019-03-20 |
1578028288 | Actioncare Community Clinic Inc | Clinic/Center | 10584 France Ave S, Bloomington, MN 55431-3538 | 2019-02-06 |
1942778097 | The Sweere Clinic LLC | Clinic/Center | 2501 W 84th St, Bloomington, MN 55431-1602 | 2018-11-07 |
1861858953 | Fairview Health Services | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-01-06 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 55420 |
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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.