Active NPI
Group Health Plan Inc
- Durable Medical Equipment & Medical Supplies
- Eagan, MN
National Provider Identifier
1811244809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GROUP HEALTH PLAN INC
- Practice address
- 1654 Diffley Rd
Suite 100
Eagan, MN 55122 - Phone
- (651) 641-3900
- Fax
- (651) 641-3920
- NPI assigned
- Aug 8, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1654 Diffley Rd
Suite 100
Eagan, MN 55122
Mailing address
8170 33Rd Ave S
Mailstop 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-7469
Other names 1
- HealthPartners Eagan Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2030388 | Healthpartners Eagan Clinic | Accreditation | Jun 18, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532304000000",
"number": "1811244809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MAILSTOP 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": "1654 DIFFLEY RD",
"address_2": "SUITE 100",
"city": "EAGAN",
"state": "MN",
"postal_code": "55122",
"telephone_number": "651-641-3900",
"fax_number": "651-641-3920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUP HEALTH PLAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-08",
"last_updated": "2018-07-23",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthPartners Eagan Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HealthPartners Eagan Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.