Organization Active NPI

Allina Health System

Doing business as Allina Health Emergency Medical Services

  • Ambulance
  • Saint Paul, MN
National Provider Identifier
1306801113
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ALLINA HEALTH SYSTEM
Doing business as
Allina Health Emergency Medical Services
Practice address
167 Grand Ave
Saint Paul, MN 55102-2318
Phone
(651) 222-0555
NPI assigned
Apr 18, 2006
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Dominica Tallarico
Title
Coo
Phone
(612) 222-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

167 Grand Ave
Saint Paul, MN 55102-2318

Mailing address

PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166

Other practice location 1

15000 Hayes Rd
Apple Valley, MN 55124-6306
Phone (952) 953-2672

Other practice location 2

220 Capital Dr Ste 500
Buffalo, MN 55313-2462
Phone (763) 684-3000

Other practice location 3

815 40th Ave SW
Cambridge, MN 55008-9104
Phone (763) 688-7719

Other practice location 4

8035 W 124th St
Savage, MN 55378-1058
Phone (952) 428-1360

Other practice location 5

2154 Ford Ave N
Glencoe, MN 55336-5012
Phone (320) 864-3121

Other practice location 6

1467 Adams St SE Ste 1
Hutchinson, MN 55350-7010
Phone (320) 484-4564

Other practice location 7

2296 Woodale Dr
Saint Paul, MN 55112-4900
Phone (651) 241-9150

Other practice location 8

520 N Front St
New Ulm, MN 56073-1634
Phone (507) 217-5811

Other names 1

  • Allina Health Emergency Medical Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060830000163 MN Part B Supplier - Ambulance Service Supplier 4587573613 Practice locations: Apple Valley, MN; Buffalo, MN; Cambridge, MN; Glencoe, MN; Hutchinson, MN; Mounds View, MN; New Ulm, MN; Saint Paul, MN…

National Provider Directory

National Provider Directory

Locations

15000 Hayes Rd
Apple Valley, MN 55124
Phone (952) 953-2670

815 40th Ave SW
Cambridge, MN 55008
Phone (763) 688-7719

1467 Adams St SE
Ste 1
Hutchinson, MN 55350
Phone (320) 484-4564

520 N Front St
New Ulm, MN 56073
Phone (507) 217-5811

167 Grand Ave
Saint Paul, MN 55102
Phone (651) 222-0555

2296 Woodale Dr
Saint Paul, MN 55112
Phone (651) 222-0555

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Francis Regional Medical CenterShakopee, MN, CCN 240104 Hospital 5% Or Greater Direct Ownership Interest (47.5%) Nov 15, 2007
Courage Kenny Rehabilitation Institute TRPGolden Valley, MN, CCN 245519 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jun 1, 2013
Jun 1, 2013
Allina Health Restorative SuitesPlymouth, MN, CCN 245624 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 10, 2022

Practitioners & affiliated clinicians

Practitioners 1

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1306801113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MAIL ROUTE 10585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022318",
            "telephone_number": "651-222-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15000 Hayes Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551246306",
            "country_code": "US",
            "telephone_number": "952-953-2672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Capital Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553132462",
            "country_code": "US",
            "telephone_number": "763-684-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 40th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550089104",
            "country_code": "US",
            "telephone_number": "763-688-7719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8035 W 124th St",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553781058",
            "country_code": "US",
            "telephone_number": "952-428-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2154 Ford Ave N",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "MN",
            "postal_code": "553365012",
            "country_code": "US",
            "telephone_number": "320-864-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1467 Adams St SE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553507010",
            "country_code": "US",
            "telephone_number": "320-484-4564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2296 Woodale Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551124900",
            "country_code": "US",
            "telephone_number": "651-241-9150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N Front St",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560731634",
            "country_code": "US",
            "telephone_number": "507-217-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allina Health Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.