NPIMap

Organization Active NPI

North Memorial Health Care

Doing business as North Memorial Health Hospital

  • General Acute Care Hospital
  • Robbinsdale, MN
National Provider Identifier
1851344907
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
330905 Issued in MN
Legal business name
NORTH MEMORIAL HEALTH CARE
Doing business as
North Memorial Health Hospital
Practice address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone
(763) 581-4480
NPI assigned
May 18, 2006
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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)CodeLicenseStatePrimary
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

3435 W Broadway Ave Ste 1150.1
Robbinsdale, MN 55422-2969
Phone (763) 520-5200

Other practice location 2

4181 108th Ave NE Ste 200
Blaine, MN 55449-7439
Phone (763) 581-0555

Other names 1

  • North Memorial Health Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851344907. 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
CorporationNon-profit
Incorporated
Apr 24, 1940 in MN
Enrollment address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
North Memorial Health HospitalCCN 240001 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555

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.

NameRoleSinceShare
Diane Huston Individual Corporate DirectorBoard Member Jan 1, 2019
Ramon Alfredo Pastrano Individual Corporate DirectorBoard Member Aug 22, 2024
Eric Jerome Skalland Individual Corporate DirectorBoard Member Aug 22, 2024
Stephanie Renee Gale Individual Corporate OfficerCfo Dec 2, 2024
Alexa Chellsen Individual W-2 Managing EmployeeManager Rev Cycle System Billing Aug 1, 2020
Laurie Lafontaine Individual Corporate DirectorBoard Member Jul 1, 2016
Heidi M Wilson Individual Corporate DirectorBoard Member Jan 1, 2019
Cameron Keith Berg Individual Corporate DirectorBoard Member Aug 22, 2024
Ted Ferrara Individual Corporate DirectorBoard Member Jul 1, 2016
John Foley Individual W-2 Managing EmployeeManager Payer Strategy and Relation Sep 7, 2022
Andrew J Houlton Individual Corporate DirectorBoard Member Feb 18, 2021
Carolyn Ogland Vukich Individual Corporate DirectorCmo Aug 20, 2018
W-2 Managing EmployeeCmo Aug 20, 2018
Reuben Moore Individual Corporate DirectorBoard Member Jan 1, 2021
Trevor W Sawallish Individual Corporate OfficerCeo Sep 1, 2023
Robert Mahlon Dahl Individual Corporate DirectorBoard Member Jan 1, 2018
Warren Mack Individual Corporate DirectorBoard Member Aug 1, 2013
Allen Kemp Individual Corporate DirectorBoard Member Aug 22, 2024
Bruce Christensen Individual Corporate DirectorBoard Member 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.

FacilityTypeRoleSince
Maple Grove Hospital CorporationMaple Grove, MN, CCN 240214 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.

Practitioners & affiliated clinicians

Practitioners 723

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 723

Affiliated clinicians 1,250

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,250

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": "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"
        },
        {
            "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"
        }
    ],
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Memorial Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.