Allina Health System

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

330760 Issued in MN

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Cambridge Medical Center

Practice address

701 Dellwood St S
Cambridge, MN 55008-1920

Phone

(763) 689-7957

NPI assigned

Apr 18, 2006

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Shepherd

Title

President

Phone

(763) 688-7804

Specialties & licenses 2

Addresses

Other names 1

• Cambridge Medical Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104881911. Details of each certification follow.

• CCN 240020 Hospital · Active · Details

Hospital certification: CCN 240020

Legal name

ALLINA HEALTH SYSTEM

Doing business as

CAMBRIDGE MEDICAL CENTER

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Nov 1, 2012

Beds

86

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Sep 28, 1983 in MN

Enrollment address

701 Dellwood St S
Cambridge, MN 55008-1920
Main/Primary Hospital Location

Hospital subgroups

Acute care

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Allina Health System

  dba Cambridge Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Cambridge, MN
  • NPI 1013194729

  O20030505000032

  Same enrollment
• Allina Health System

  dba Cambridge Medical Center

  • General Acute Care Hospital
  • Cambridge, MN
  • NPI 1568427383

  O20030505000032

  Same enrollment
• Allina Health System

  dba Allina Health Cambridge Clinic

  • Obstetrics & Gynecology Physician
  • Cambridge, MN
  • NPI 1720384175

  O20030505000032

  Same enrollment

Listed as

Cambridge Medical CenterCCN 240020 · All quality measures

Overall star rating

4 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Daniel Thomas O'Laughlin, M.D.

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1851334825

  Corporate Director

  CMS ownership

Affiliated clinicians 299

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Naeem Ahmed Adhami, MD

  • Pulmonary Disease Physician
  • Coon Rapids, MN
  • NPI 1407081169

  Hospital

  Care Compare affiliation
• Obinna E. Agujiobi, M.D.

  • Internal Medicine Physician
  • Coon Rapids, MN
  • NPI 1780885319

  Hospital

  Care Compare affiliation
• Gina Marie Ahlness, APRN ,CNP

  • Adult Health Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1518467760

  Hospital

  Care Compare affiliation
• Abdulqadir Ahmad, D.O

  • Infectious Disease Physician
  • Robbinsdale, MN
  • NPI 1366707556

  Hospital

  Care Compare affiliation
• Mohammed NMN Ahmed, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Coon Rapids, MN
  • NPI 1538697818

  Hospital

  Care Compare affiliation
• Azeez Akinlolu

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1609433861

  Hospital

  Care Compare affiliation
• Hayan Al Maluli, MD

  • Cardiovascular Disease Physician
  • Minneapolis, MN
  • NPI 1972814473

  Hospital

  Care Compare affiliation
• Jayasri Alapati, MD

  • Neurology Physician
  • Coon Rapids, MN
  • NPI 1043565757

  Hospital

  Care Compare affiliation
• Elizabeth Medina Alm, M.D.

  • Occupational Medicine Physician
  • Saint Paul, MN
  • NPI 1841518743

  Hospital

  Care Compare affiliation
• Erika Lea Andersen, AGNP

  • Adult Health Nurse Practitioner
  • Apple Valley, MN
  • NPI 1407474133

  Hospital

  Care Compare affiliation
• Greg Alan Andrle, DO

  • Family Medicine Physician
  • Cambridge, MN
  • NPI 1770657884

  Hospital

  Care Compare affiliation
• Seth Baker, M.D.

  • Internal Medicine Physician
  • Coon Rapids, MN
  • NPI 1386746972

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1104881911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "ROUTE 10860",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DELLWOOD ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081920",
            "telephone_number": "763-689-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-688-7804"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MN",
            "license": "330760",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cambridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cambridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adapthealth Minnesota LLC
• Victoria Alyce Marie Agnes
• Merri Christine Ahlstrom, LADC
• Kabrina Raye Alderton
• Allina Health System (Cambridge Medical Center)
• Allina Health System (Allina Health Cambridge Pharmacy)
• Allina Health System (Allina Health Cancer Institute - Cambridge)
• Allina Health System (Allina Health Mental Health - Cambridge Clinic)
• Allina Health System (Allina Health Cancer Institute - Cambridge)
• Allina Health System (Cambridge Medical Center)

• Psychiatric Hospital Unit in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Psychiatric Hospital Unit in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.