Allina Health System

Organization Active NPI Family Medicine Physician · Lamberton, MN

NPI 1467090159 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1467090159
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ALLINA HEALTH SYSTEM
Practice address
310 S Main St
Lamberton, MN 56152-1167
Phone
(507) 752-7375
NPI assigned
Dec 13, 2019
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

Practitioners 14

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2178647Lamberton Clinic-New Ulm Medical Center
310 S Main Street, Lamberton, MN 56152
Certificate of waiverFeb 5, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040319000460 MN Part B Supplier - Clinic/Group Practice 4587573613 Receives reassigned benefits from 4,246 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Abbott NW HSP-Ekg (116 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

310 S Main St
Lamberton, MN 56152-1167

Mailing address

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

Other names

  • Lamberton Clinic - New Ulm Medical Center Doing business as

Electronic endpoints

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

Other providers in Lamberton, MN

All providers in Lamberton, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.