North Memorial Health Care
Organization Active NPI Medical Specialty Clinic/Center · Robbinsdale, MN
NPI 1699953000 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1699953000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- NORTH MEMORIAL HEALTH CARE
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Phone
- (763) 520-5200
- NPI assigned
- Feb 7, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH MEMORIAL HEALTH CARE
Authorized official
- Name
- Stephanie R Gale
- Title
- Interim Cfo
- Phone
- (763) 581-4635
Other NPIs on the same Medicare enrollment 3
Related certifications (CCN) 1
Affiliated clinicians 1,250
-
Bariituu I Adam, MD
-
Roderick Adams, MD
-
Amina Adil, MD
-
Ese Blessing Aghenta, M.B.B.S.
-
Abdulqadir Ahmad, D.O
-
Umair Ahmed, M.D.
-
Arshad Ahsan, M.D.
-
Joseph Atule Akambase, MD, MPH
-
Arda Akoluk, MD
-
Sharmin Alam, M.D.
-
Brian James Allen, M.D.
-
William Allen II, M.D.
-
Afua Amoah, MD
-
Naveen Kumar Anantha, M.D.
-
Kristi Anderson, APRN, CNP
-
Kristina Kay Anderson, M.D.
-
Mary Kathleen Anderson, PA-C
Medicare Care Compare: Hospital
- Listed as
- North Memorial Health Hospital
- Overall star rating
- ★☆☆☆☆ 1 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 240001
- Legal name
- NORTH MEMORIAL HEALTH CARE
- Doing business as
- NORTH MEMORIAL HEALTH HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 6, 2019
- Beds
- 518
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 24, 1940 in MN
- Enrollment address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Diane Huston |
Corporate Director |
Jan 1, 2019 | |
| Ramon Alfredo Pastrano |
Corporate Director |
Aug 22, 2024 | |
| Eric Jerome Skalland |
Corporate Director |
Aug 22, 2024 | |
| Stephanie Renee Gale |
Corporate Officer |
Dec 2, 2024 | |
| Alexa Chellsen |
W-2 Managing Employee |
Aug 1, 2020 | |
| Laurie Lafontaine |
Corporate Director |
Jul 1, 2016 | |
| Heidi M Wilson |
Corporate Director |
Jan 1, 2019 | |
| Cameron Keith Berg |
Corporate Director |
Aug 22, 2024 | |
| Ted Ferrara |
Corporate Director |
Jul 1, 2016 | |
| John Foley |
W-2 Managing Employee |
Sep 7, 2022 | |
| Andrew J Houlton |
Corporate Director |
Feb 18, 2021 | |
| Carolyn Ogland Vukich |
Corporate Director |
Aug 20, 2018 | |
| W-2 Managing Employee |
Aug 20, 2018 | ||
| Reuben Moore |
Corporate Director |
Jan 1, 2021 | |
| Trevor W Sawallish |
Corporate Officer |
Sep 1, 2023 | |
| Robert Mahlon Dahl |
Corporate Director |
Jan 1, 2018 | |
| Warren Mack |
Corporate Director |
Aug 1, 2013 | |
| Allen Kemp |
Corporate Director |
Aug 22, 2024 | |
| Bruce Christensen |
Corporate Director |
Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080417000620 | MN | Part a Provider - Hospital | 0042123028 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blaine, MN; Brooklyn Center, MN; Maple Grove, MN; Robbinsdale, MN |
National Provider Directory
- Part of
- N Memorial Health Care
Locations
9825 Hospital Dr
Ste 105
Maple Grove, MN 55369
Phone (763) 383-7818
15450 Highway 7
Ste 100
Minnetonka, MN 55345
Phone (763) 581-8900
3366 Oakdale Ave N
Ste 601
Robbinsdale, MN 55422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Mailing address
PO Box 735463
Chicago, IL 60673-5463
Phone (763) 520-5200
Other practice location 1
3435 W Broadway Ave
Robbinsdale, MN 55422-2969
Phone (763) 520-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035HNO | Other | MN | BLUE CROSS |
| 5000812 | Other | MN | MEDICA |
| 111387 | Other | HEALTH PARTNERS |
Other names
- North Memorial Health Specialty Center - Robbinsdale
Other providers in Robbinsdale, MN
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Health Care
- North Memorial Medical Center Pharmacy
- North Urology, LTD.
All providers in Robbinsdale, MN · Medical Specialty 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 Dec 9, 2024. 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.