Active NPI
Allina Health Surgery Center- Brooklyn Park, LLC
- Ambulatory Surgical Clinic/Center
- Brooklyn Park, MN
National Provider Identifier
1215664917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2258503 | Allina Health Surgery Center - Brooklyn Park, LLC | Certificate of waiver | Apr 21, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Allina Health Surgery Center Brooklyn PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Brooklyn Park, MN
- NPI 1255001525
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
- All Wullancare Inc
- Allayans Health LLC
- Tonya Danielle Allen, MSW, LICSW
- Monica Manoranjin Alley, DDS
- Alliance Transportation Network
- Allina Health Surgery Center- Brooklyn Park, LLC
- Allina Health System
- Allina Health System (Allina Health Brooklyn Park Clinic)
- Monjue Alllen, PHLEBOTOMY/ MEDICAL
- Muno Almi
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.