Organization Active NPI

Piic Clinical Services

  • Primary Care Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1508500844
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PIIC CLINICAL SERVICES
Doing business as
Boston Scientific Occupation Health Center - Maple Grove
Practice address
1 Scimed PL # Msa170
Maple Grove, MN 55311-1565
Phone
(763) 494-2278
Fax
(833) 972-1580
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Alethea Anderson
Title
Care Operations Manager
Phone
(952) 698-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1 Scimed PL # Msa170
Maple Grove, MN 55311-1565

Mailing address

323 Washington Ave N Ste 200
Minneapolis, MN 55401-2206
Phone (952) 698-9860

Other names 1

  • Boston Scientific Occupation Health Center - Maple Grove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piic Clinical Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1 Scimed Pl
#170
Maple Grove, MN 55311
Phone (763) 494-2278

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1508500844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WASHINGTON AVE N STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012206",
            "telephone_number": "952-698-9860",
            "fax_number": "612-930-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCIMED PL # MSA170",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111565",
            "telephone_number": "763-494-2278",
            "fax_number": "833-972-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIIC CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-03-17",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-698-9860"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Scientific Occupation Health Center - Maple Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boston Scientific Occupation Health Center - Maple Grove",
            "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 Mar 17, 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.