Organization Active NPI

Allina Health Surgery Center- Brooklyn Park, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1215664917
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC
Practice address
6001 96TH LN N Ste 200
Brooklyn Park, MN 55445-4602
Phone
(205) 545-2572
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Michael Miller
Title
Regional Vice President Operations
Phone
(612) 518-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6001 96TH LN N Ste 200
Brooklyn Park, MN 55445-4602

Mailing address

6001 96TH LN N Ste 200
Brooklyn Park, MN 55445-4602
Phone (205) 545-2572

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2258503Allina Health Surgery Center - Brooklyn Park, LLC6001 96TH Lane N, Suite 200, Brooklyn Park, MN 55445Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Allina Health Surgery Center Brooklyn PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6001 96th Ln N
Ste 200
Minneapolis, MN 55445
Phone (205) 263-2559

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1215664917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 96TH LN N STE 200",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554454602",
            "telephone_number": "205-545-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 96TH LN N STE 200",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554454602",
            "telephone_number": "205-545-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "612-518-5185"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.