Active NPI
North Memorial Health Care
Doing business as North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- NORTH MEMORIAL HEALTH CARE
- Doing business as
- North Memorial Health Specialty Center - Robbinsdale
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Phone
- (763) 520-5200
- NPI assigned
- Feb 7, 2008
- Last updated
- Dec 9, 2024
- Organization subpart
- Yes
- Parent organization
- NORTH MEMORIAL HEALTH CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie R Gale
- Title
- Interim Cfo
- Phone
- (763) 581-4635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111387 | Other | HEALTH PARTNERS | |
| 5000812 | Other | MN | MEDICA |
| 1035HNO | Other | MN | BLUE CROSS |
Other names 1
- North Memorial Health Specialty Center - Robbinsdale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699953000. Details of each certification follow.
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
- Incorporated
- Apr 24, 1940 in MN
- Enrollment address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Hospital subgroups
- Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba North Memorial Health Rehabilitation Therapy Center
- Rehabilitation Hospital Unit
- Robbinsdale, MN
- NPI 1285657247
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
O20080417000620
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
O20080417000620
Care Compare: Hospital
Medicare Care Compare- Listed as
- North Memorial Health Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- North Mem Health Care
Locations
305 E Nicollet Blvd
Ste 372
Burnsville, MN 55337
Phone (952) 460-4130
8301 Golden Valley Rd
Ste 100
Minneapolis, MN 55427
Phone (763) 520-2200
3366 Oakdale Ave N
Ste 601
Robbinsdale, MN 55422
4080 W Broadway Ave
Ste 200
Robbinsdale, MN 55422
Phone (763) 398-8888
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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 |
Practitioners & affiliated clinicians
Affiliated clinicians 1,250
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Minneapolis, MN
- NPI 1316393622
-
- Hospitalist Physician
- Robbinsdale, MN
- NPI 1972921567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1699953000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735463",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735463",
"telephone_number": "763-520-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222926",
"telephone_number": "763-520-5200"
}
],
"practiceLocations": [
{
"address_1": "3435 W Broadway Ave",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222969",
"country_code": "US",
"telephone_number": "763-520-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH MEMORIAL HEALTH CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH MEMORIAL HEALTH CARE",
"enumeration_date": "2008-02-07",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "GALE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "INTERIM CFO",
"authorized_official_telephone_number": "763-581-4635"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "111387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "5000812",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1035HNO",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Memorial Health Specialty Center - Robbinsdale",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Robbinsdale, MN
- North Memorial Health Care (North Memorial Health Hospice)
- North Memorial Health Care (North Memorial Health Hospitalist Services)
- North Memorial Health Care (North Memorial Health Mental Health & Addiction Center)
- North Memorial Health Care (North Memorial Health Professional Services)
- North Memorial Health Care (North Memorial Health Surgical Services)
- North Memorial Health Care (North Memorial Health Pharmacy-Specialty Center Contract)
- North Memorial Health Care (North Memorial Health Hospital)
- North Memorial Health Care (North Memorial Health Specialty Clinic)
- North Memorial Medical Center Pharmacy (North Memorial Health Pharmacy - Robbinsdale)
- North Urology, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.