Allina Health System

Organization Active NPI Certified Registered Nurse Anesthetist · Buffalo, MN

NPI 1649211756 · NPPES record last updated Mar 22, 2024

Key facts

NPI
1649211756
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
ALLINA HEALTH SYSTEM
Practice address
303 Catlin St
Buffalo, MN 55313-1947
Phone
(763) 682-1212
NPI assigned
Jun 9, 2006
Organization subpart
Yes
Parent organization (as reported)
ALLINA HEALTH SYSTEM

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 31

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

View all 31

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)
Part of
Abbott NW HSP-Ekg

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X Yes

Addresses

Primary practice location

303 Catlin St
Buffalo, MN 55313-1947

Mailing address

14700 28TH Ave N
Suite 20
Plymouth, MN 55447-4835
Phone (763) 559-3779

Other names

  • Buffalo Hospital CRNA Doing business as

Other providers in Buffalo, MN

All providers in Buffalo, MN · Certified Registered Nurse Anesthetist in Minnesota

Sources for this page

Verify at the official NPI Registry.