Organization Active NPI

Grouphealth Plan Inc

Doing business as HealthPartners Health Center for Women Clinic

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
National Provider Identifier
1780744763
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8600490 Issued in MN
Legal business name
GROUPHEALTH PLAN INC
Doing business as
HealthPartners Health Center for Women Clinic
Practice address
2635 University Ave W
Westgate III Building, Suite 160
Saint Paul, MN 55114
Phone
(952) 883-7469
Fax
(952) 883-5395
NPI assigned
Dec 11, 2006
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Lisa Bjorkman
Title
Director
Phone
(952) 883-7469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8600490 MN Primary

Addresses

Primary practice location

2635 University Ave W
Westgate III Building, Suite 160
Saint Paul, MN 55114

Mailing address

8170 33Rd Ave S
Mail Stop 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-7469

Other identifiers 1

IdentifierTypeStateIssuer
872724401MedicaidMN

Other names 1

  • HealthPartners Health Center for Women Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0999602Healthpartners Health Center for Women2635 University Avenue West Suite 160, Saint Paul, MN 55114AccreditationApr 20, 2027

National Provider Directory

National Provider Directory

Locations

2635 University Ave W
Ste 160
Saint Paul, MN 55114
Phone (651) 254-3500

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1780744763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAIL STOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 UNIVERSITY AVE W",
            "address_2": "WESTGATE III BUILDING, SUITE 160",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUPHEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "BJORKMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-883-7469"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "8600490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872724401",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPartners Health Center for Women Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPartners Health Center for Women Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.