Active NPI
Regents of the University of Minnesota
- Student Health Clinic/Center
- Minneapolis, MN
National Provider Identifier
1013137355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- REGENTS OF THE UNIVERSITY OF MINNESOTA
- Practice address
- 410 Church St SE
Minneapolis, MN 55455-0340 - Phone
- (612) 625-8400
- Fax
- (612) 677-3211
- NPI assigned
- Apr 27, 2007
- Organization subpart
- Yes
- Parent organization
- REGENTS OF THE UNIVERSITY OF MINNESOTA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karla Schardin
- Title
- Director of Operations
- Phone
- (612) 625-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Primary |
Addresses
Primary practice location
410 Church St SE
Minneapolis, MN 55455-0340
Mailing address
410 Church St SE
Minneapolis, MN 55455-0222
Phone (612) 625-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322012500 | Medicaid | MN |
Other names 1
- Boynton Health Service
National Provider Directory
National Provider Directory- Part of
- University of Minnesota
Locations
410 Church St SE
#W235
Minneapolis, MN 55455
1501 Hennepin Ave
Minneapolis, MN 55403
Phone (612) 625-8400
1420 Eckles Ave
Ste 109
Saint Paul, MN 55108
Practitioners & affiliated clinicians
Practitioners 79
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1922179456
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1497783955
-
- Addiction (Substance Use Disorder) Counselor
- Minneapolis, MN
- NPI 1649647348
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1255402319
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1427403948
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Minneapolis, MN
- NPI 1104898626
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1154671147
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1235538547
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1518976893
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1427663970
-
- Physical Therapist
- Minneapolis, MN
- NPI 1508030412
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1508359704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780790400000",
"number": "1013137355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550222",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550340",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF MINNESOTA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF MINNESOTA",
"enumeration_date": "2007-04-27",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A",
"authorized_official_last_name": "SCHARDIN",
"authorized_official_first_name": "KARLA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "612-625-8400"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322012500",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boynton Health Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
- Refuge Healthcare Services Inc
- Regain Health Agency LLC
- Warren Regelmann, M.D.
- Lorie Lyn Regenold
- Tara Lynn Regenold, D.D.S.
- Regents of the University of Minnesota
- Regents of the University of Minnesota
- Regents of the University of Minnesota
- Regents of the University of Minnesota
- Regents of the University of Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.