Organization Active NPI

Zandu Health Initiative

  • Student Health Clinic/Center
  • Bloomington, MN
National Provider Identifier
1508302027
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
ZANDU HEALTH INITIATIVE
Practice address
10800 Lyndale Ave S
Bloomington, MN 55420-5614
Phone
(952) 208-5590
Fax
(612) 446-5500
NPI assigned
Jan 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Steve MandiekaNPI 1700229028
Title
Program Director
Phone
(952) 479-0172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Clinic/Center 261Q00000X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

10800 Lyndale Ave S
Bloomington, MN 55420-5614

Mailing address

10800 Lyndale Ave S
Bloomington, MN 55420-5614
Phone (952) 479-0172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1508302027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205614",
            "telephone_number": "952-479-0172",
            "fax_number": "952-516-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205614",
            "telephone_number": "952-208-5590",
            "fax_number": "612-446-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANDU HEALTH INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "MANDIEKA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "952-479-0172",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.