Active NPI
Maple Grove Hospital Corporation
- Community/Retail Pharmacy
- Maple Grove, MN
National Provider Identifier
1770028748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MAPLE GROVE HOSPITAL CORPORATION
- Practice address
- 9875 Hospital Dr
Maple Grove, MN 55369-4648 - Phone
- (763) 581-1000
- NPI assigned
- Dec 30, 2016
- Organization subpart
- Yes
- Parent organization
- MAPLE GROVE HOSPITAL CORPORATION
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
9875 Hospital Dr
Maple Grove, MN 55369-4648
Mailing address
9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000
Other names 1
- Maple Grove Overnight Discharge Pharmacy
National Provider Directory
National Provider Directory- Part of
- Maple Grove Hospital Corp
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Madison, WI
- NPI 1679519938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1770028748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9875 HOSPITAL DR",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694648",
"telephone_number": "763-581-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9875 HOSPITAL DR",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694648",
"telephone_number": "763-581-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLE GROVE HOSPITAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAPLE GROVE HOSPITAL CORPORATION",
"enumeration_date": "2016-12-30",
"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": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maple Grove Overnight Discharge Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maple Grove, MN
- Maple Grove Counseling Center PA
- Maple Grove Dialysis LLC
- Maple Grove Eye Care, LLC
- Maple Grove Family Dental Clinic, PA
- Maple Grove Hospital Corporation
- Maple Grove Periodontics and Implant Dentistry
- Maple Grove Smiles Dentistry, PC
- Maple Grove Therapy and Wellness
- Maple Grove Urgent Care
- Maple Grove Vision Clinic, P.a.
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.