University of Minnesota Health Clinics and Surgery Center, Inc.

Organization Active NPI Mammography Clinic/Center · Minneapolis, MN

NPI 1275917312 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1275917312
Entity type
Organization (NPI type 2)
Primary specialty
Mammography Clinic/Center 261QR0206X
Legal business name
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC.
Practice address
909 Fulton St SE
Minneapolis, MN 55414-0000
Phone
(612) 672-7422
NPI assigned
Jul 18, 2015
Organization subpart
Yes
Parent organization (as reported)
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC.

Authorized official

Name
William Sibert
Title
Cfo
Phone
(612) 884-0600

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 612

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 612

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160607001400 MN Part B Supplier - Mammography Center 9133423304 Practice locations: Minneapolis, MN

National Provider Directory

Part of
University of Minnesota Health Clinics and Surgery Center Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Yes

Addresses

Primary practice location

909 Fulton St SE
Minneapolis, MN 55414-0000

Mailing address

720 Washington Ave SE
Suite 300
Minneapolis, MN 55414-2924
Phone (612) 884-0649

Other names

  • University of Minnesota Health Breast Center Doing business as

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Mammography Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.