NPIMap

Organization Active NPI

North Memorial Health Care

Doing business as North Memorial Health Cancer

  • Oncology Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1285648295
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
NORTH MEMORIAL HEALTH CARE
Doing business as
North Memorial Health Cancer
Practice address
9825 Hospital Dr Ste 11
Maple Grove, MN 55369-4479
Phone
(763) 581-2800
NPI assigned
Jul 27, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MEMORIAL HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Stephanie R Gale
Title
Cfo
Phone
(763) 581-4635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X NU Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 11
Maple Grove, MN 55369-4479

Mailing address

PO Box 735463
Chicago, IL 60673-5463
Phone (763) 581-2820

Other practice location 1

3435 W Broadway Ave
Robbinsdale, MN 55422-2922
Phone (763) 520-1152

Other identifiers 5

IdentifierTypeStateIssuer
96300OtherPREFERREDONE
4T901M1OtherBCBS
30346OtherHEALTH PARTNERS
102369OtherUCARE
671323800MedicaidMN

Other names 1

  • North Memorial Health Cancer Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040122000470 MN Part B Supplier - Clinic/Group Practice 0042123028 Receives reassigned benefits from 675 practitioners
43 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maple Grove, MN; Golden Valley, MN; Minneapolis, MN; Minnetonka, MN; Monticello, MN; New Hope, MN; Robbinsdale, MN; Stillwater, MN…
O20100930042315 MN DME Supplier - PharmacyDME Supplier - Physician - Hematology/Oncology 0042123028 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Robbinsdale, MN

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Part of
Bass Lake Physicians

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1285648295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735463",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735463",
            "telephone_number": "763-581-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 11",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-581-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222922",
            "country_code": "US",
            "telephone_number": "763-520-1152",
            "fax_number": "763-520-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH MEMORIAL HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MEMORIAL HEALTH CARE",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-581-4635"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "96300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4T901M1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "30346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "102369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "671323800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Memorial Health Cancer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.