VALHALLA PLACE CLINIC, P.A. (NPI# 1780074849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780074849 |
| Entity Type | Organization |
| Organization Name | VALHALLA PLACE CLINIC, P.A. |
| Practice Address |
6043 Hudson Rd Ste 220 Woodbury MN 55125-1033 |
| Practice Telephone | 6519258200 |
| Practice Fax Number | 6529258201 |
| Mailing Telephone | 6519258200 |
| Mailing Fax Number | 6529258201 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | DR. LYNN SOLEM (OWNER) |
| Authorized Official Telephone | 6519258200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MN | Ambulatory Health Care Facilities |
| Street Address |
6043 HUDSON RD STE 220 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104852094 | Kaitlin Buckner | Physician Assistant | 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | 2006-06-23 |
| 1518568807 | Andrea Schultz | Counselor | 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | 2020-11-04 |
| 1477925709 | Lisa Marie Post | Counselor | 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | 2015-10-26 |
| 1619378320 | Ingrid Sarianna Tucci | Counselor | 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | 2014-09-12 |
| 1215955398 | Rebekah Joy Wilson | Physician Assistant | 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1447401971 | Health Source of Woodbury Pa | Clinic/Center | 7060 Valley Creek Plz Ste 121, Woodbury, MN 55125-2269 | 2008-10-02 |
| 1285250977 | Shriners Hospitals for Children | Clinic/Center | 215 Radio Drive, Suite 100, Woodbury, MN 55125 | 2020-06-18 |
| 1073135117 | Garden State Psychiatric Services, LLC | Clinic/Center | 45 Euclid St # 200, Woodbury, NJ 08096-4631 | 2020-05-12 |
| 1558870196 | Summit Orthopedics Ltd | Clinic/Center | 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 | 2017-09-27 |
| 1447673538 | Vadnais Heights Surgery Center LLC | Clinic/Center | 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 | 2014-01-27 |
| 1902102353 | Allina Health System | Clinic/Center | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2011-02-02 |
| 1619163904 | Premier Health,p.a. | Clinic/Center | 6861 Upper Afton Rd, Suite 102, Woodbury, MN 55125-4417 | 2007-09-20 |
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| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
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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.