Allina Health System
Organization Active NPI Radiation Oncology Clinic/Center · Buffalo, MN
NPI 1417548959 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1417548959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Clinic/Center 261QX0203X
- Legal business name
- ALLINA HEALTH SYSTEM
- Practice address
- 303 Catlin St Ste 1000
Buffalo, MN 55313-1947 - Phone
- (763) 682-1212
- NPI assigned
- Jan 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Joshua Shepherd
- Title
- Hospital President
- Phone
- (763) 688-7804
Owners & managing parties with NPI records 1
-
Daniel Thomas O'Laughlin, M.D.
Other NPIs on the same Medicare enrollment 7
Related certifications (CCN) 1
Affiliated clinicians 1,274
-
David Aamodt, MD
-
Mohamad Y Abbas, M.D.
-
Tess Abrahamson, PA-C
-
Obinna E. Agujiobi, M.D.
-
Suresh Ahanya, MD
-
Gina Marie Ahlness, APRN ,CNP
-
Aqeel Ahmad, M.D.
-
Abdelwahaab Akef, M.D.
-
Laila Summer Akhter, DNP, APRN, FNP-C
-
Joseph W. Akornor, M.D.
-
Javid Akram, MD
-
Jayasri Alapati, MD
-
Siobhan Esther Alexander, M.D.
-
Azhar T. Ali, MBBS
-
Uzma Ali, MBBS
Medicare Care Compare: Hospital
- Listed as
- Mercy Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Hospital certification: CCN 240115
- Legal name
- ALLINA HEALTH SYSTEM
- Doing business as
- MERCY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 1, 1970
- Last certification
- Nov 29, 2012
- Beds
- 573 (546 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- May 1, 1987 (2 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Challis Lowe |
Corporate Director | Jun 8, 2022 | |
| John Richard Church |
Corporate Director |
Sep 9, 2021 | |
| Laura Jean Gillund |
Corporate Director |
Jun 10, 2015 | |
| Amy L Ronneberg |
Corporate Director |
Dec 1, 2020 | |
| Daniel Thomas O'Laughlin |
Corporate Director |
Jan 1, 2022 | |
| Maykao Y Hang |
Corporate Director |
Jun 13, 2019 | |
| David Allan Joos |
Corporate Officer |
Oct 1, 2025 | |
| Brian McGrane |
Corporate Director |
Jun 14, 2024 | |
| Marna Borgstrom |
Corporate Director |
Jun 13, 2025 | |
| Kelly J Spratt |
Corporate Officer |
Dec 27, 2025 | |
| Jennifer Soo Alstad |
Corporate Director |
Jun 10, 2016 | |
| Shari L Ballard |
Corporate Director |
Jun 10, 2020 | |
| Timothy Aloysius Welsh |
Corporate Director |
Dec 1, 2017 | |
| Vicki Rasmusen |
Corporate Director |
Jun 13, 2019 | |
| Debbra Schoneman |
Corporate Director |
Jun 13, 2013 | |
| James Kolar |
Corporate Director |
Sep 13, 2024 | |
| Lisa Shannon |
Corporate Director |
Jan 1, 2022 | |
| Shawn M Ulreich |
Corporate Director |
Sep 13, 2023 | |
| Chanda L Baker |
Corporate Director |
Feb 20, 2024 | |
| Melinda Estes |
Corporate Director |
Jun 13, 2025 | |
| Louis Julius King |
Corporate Director |
Jun 12, 2017 | |
| Ruth Evelyn Williams-Brinkley |
Corporate Director |
Sep 13, 2023 | |
| Patricia W Schirmers |
Corporate Director | May 6, 2003 | |
| Barbara a Butts Williams |
Corporate Director |
Jun 10, 2015 | |
| Thomas S Schreier |
Corporate Director |
Mar 12, 2014 | |
| Dominica Marie Tallarico |
Corporate Officer |
Mar 11, 2024 | |
| Roger Scott Newcome |
Corporate Director |
May 6, 2016 | |
| W-2 Managing Employee |
May 6, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030506000004 | MN | Part a Provider - Hospital | 4587573613 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fridley, MN; Coon Rapids, MN; Cambridge, MN; Buffalo, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | Yes | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
303 Catlin St Ste 1000
Buffalo, MN 55313-1947
Mailing address
PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other names
- Allina Health Cancer Institute - Buffalo
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All providers in Buffalo, MN · Radiation Oncology Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.