NORTH MEMORIAL HEALTH CARE (NPI# 1972782571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972782571 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL HEALTH CARE |
| Other Organization Name | NORTH MEMORIAL HEALTH URGENT CARE |
| Practice Address |
9855 Hospital Dr Ste 102 Maple Grove MN 55369-4648 |
| Mailing Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Practice Telephone | 7635819220 |
| Practice Fax Number | 7635819221 |
| Mailing Telephone | 7635812273 |
| Mailing Fax Number | 7635819221 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DAN FROMM (VP, CHIEF FINANCIAL OFFICER) |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 699N8NO | 01 | |
| UCARE | 152349 | 01 | |
| HEALTH PARTNERS | 216572 | 01 | |
| PREFERRED ONE | 69820 | 01 |
| Other Name | Type Code |
|---|---|
| North Memorial Health Urgent Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11855 Ulysses St Ne Ste 120, Blaine, MN 554343948 | 7635815200 | |
| 15450 Highway 7 Ste 100, Minnetonka, MN 553453522 | 7635815200 | |
| 1835 County Road C W, Roseville, MN 551131352 | 7635815200 | |
| 800 Freeport Ave Nw Ste 100, Elk River, MN 553302723 | 7635815200 |
| 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 |
9855 HOSPITAL DR STE 102 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699714923 | Sara Johnson | Dietitian, Registered | 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 | 2006-06-05 |
| 1942605951 | Bridget Kosak | Physician Assistant | 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 | 2014-11-03 |
| 1003247396 | North Memorial Health Care | Clinic/Center | 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306993142 | Now Medical, Inc | Clinic/Center | 8150 Wedgewood Ln N, Maple Grove, MN 55369-9400 | 2007-01-04 |
| 1609834944 | Maple Grove Urgent Care | Clinic/Center | 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1306464953 | Allied Operation Support LLC | Clinic/Center | 2136 Ford Pkwy # 5195, Saint Paul, MN 55116-1863 | 2020-07-10 |
| 1902459209 | The Duluth Clinic Ltd | Clinic/Center | 1301 Miller Trunk Hwy Ste 400, Duluth, MN 55811-5639 | 2019-07-17 |
| 1780162552 | Presence Telehealth Pllc | Clinic/Center | 1232 S Oak Ave, Owatonna, MN 55060-3925 | 2018-08-02 |
| 1033641337 | Md Online Care P.C. | Clinic/Center | 7964 Brooklyn Blvd., Suite 140, Brooklyn Park, MN 55445-2391 | 2017-03-28 |
| 1447605514 | St. Francis Regional Medical Center | Clinic/Center | 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379-3164 | 2016-04-26 |
| 1942674452 | New Horizon Urgent Care and Clinic LLC | Clinic/Center | 7809 Southtown Ctr, Suite 343, Bloomington, MN 55431-1324 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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.