Active NPI
North Memorial Health Care
- General Acute Care Hospital
- Robbinsdale, MN
National Provider Identifier
1851344907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 330905
- Legal business name
- NORTH MEMORIAL HEALTH CARE
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422-2926 - Phone
- (763) 581-4480
- NPI assigned
- May 18, 2006
- 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
- Stephanie R Gale
- Title
- Interim Cfo
- Phone
- (763) 581-4635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 330905 | MN | 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
4181 108th Ave NE Ste 200
Blaine, MN 55449-7439
Phone (763) 581-0555
Other practice location 2
3435 W Broadway Ave Ste 1150.1
Robbinsdale, MN 55422-2969
Phone (763) 520-5200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035HNO | Other | BLUE CROSS | |
| 36 | Other | MN | HEALTH PARTNERS |
| 5000812 | Other | MN | MEDICA |
| 777545800 | Medicaid | MN |
Other names 1
- North Memorial Health Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040122000470 | MN | Part B Supplier - Clinic/Group Practice | 0042123028 |
Receives reassigned benefits from 675 practitioners 43 other NPIs on this enrollment Practice locations: Maple Grove, MN; Golden Valley, MN; Minneapolis, MN; Minnetonka, MN; Monticello, MN; New Hope, MN; Robbinsdale, MN; Stillwater, MN… |
| O20080417000620 | MN | Part A Provider - Hospital | 0042123028 |
4 other NPIs on this enrollment Practice locations: Blaine, MN; Brooklyn Center, MN; Maple Grove, MN; Robbinsdale, 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
- 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.
-
- Rehabilitation Hospital Unit
- Robbinsdale, MN
- NPI 1285657247
Hospital unit
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Robbinsdale, MN
- NPI 1437174810
0042123028
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Hospital Unit
- Robbinsdale, MN
- NPI 1285657247
O20040122000470
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1568893220
O20040122000470
-
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
O20080417000620
-
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1871927715
O20040122000470
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 DirectoryLocations
4181 108th Ave NE
Ste 200
Blaine, MN 55449
Phone (763) 581-0555
5615 Xerxes Ave N
Ste D
Brooklyn Center, MN 55430
Phone (763) 581-5630
9855 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-5800
3435 W Broadway Ave
Ste 11501
Robbinsdale, MN 55422
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 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maple Grove Hospital Corporation | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 15, 2022 Apr 15, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 725
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Affiliated clinicians 1,250
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1851344907",
"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": "763-581-4480"
}
],
"practiceLocations": [
{
"address_1": "4181 108th Ave NE Ste 200",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554497439",
"country_code": "US",
"telephone_number": "763-581-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3435 W Broadway Ave Ste 1150.1",
"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": "NO",
"enumeration_date": "2006-05-18",
"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": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MN",
"license": "330905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1035HNO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "36",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "5000812",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777545800",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Memorial Health Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Robbinsdale, MN
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.