Organization Active NPI

Park Nicollet Methodist Hospital

Doing business as Park Nicollet Medical Alert Services

  • Durable Medical Equipment & Medical Supplies
  • St Louis Park, MN
National Provider Identifier
1255478798
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARK NICOLLET METHODIST HOSPITAL
Doing business as
Park Nicollet Medical Alert Services
Practice address
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone
(952) 993-5000
Fax
(952) 993-1980
NPI assigned
Feb 1, 2007
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Jason James Luhrs
Title
VP Finance
Phone
(952) 883-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6500 Excelsior Blvd
St Louis Park, MN 55426

Mailing address

PO Box 1488
Minneapolis, MN 55480-1488
Phone (952) 993-1990

Other names 1

  • Park Nicollet Medical Alert Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Park Nicollet Methodist Hospital12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1255478798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554801488",
            "telephone_number": "952-993-1990",
            "fax_number": "952-993-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-993-5000",
            "fax_number": "952-993-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK NICOLLET METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "LUHRS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "952-883-7158"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Nicollet Medical Alert Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Nicollet Medical Alert Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.