Group Health Plan Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

860049 Issued in MN

Legal business name

GROUP HEALTH PLAN INC

Doing business as

HealthPartners Specialty Center-435 Phalen

Practice address

435 Phalen Blvd
Saint Paul, MN 55130

Phone

(952) 883-7469

Fax

(952) 883-5395

NPI assigned

Feb 14, 2007

Last updated

Jul 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa L Bjorkman

Title

Director

Phone

(952) 883-7469

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HealthPartners Specialty Center-435 Phalen Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1851434781",
    "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": "435 PHALEN BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55130",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "BJORKMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "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": "860049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400512125",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPartners Specialty Center-435 Phalen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPartners Specialty Center-435 Phalen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jean Grossman, CNP
• Leslie Anne Grossmann Brown, LCSW
• Todd Aldor Grossmann, DDS
• Lucas Allen Grossoehme
• Raksmey Grotte, LP
• Group Health Plan Inc (HealthPartners St Paul Clinic)
• Group Health Plan Inc. Dba
• Group Health Plan, Inc
• Group Health Plan, Inc. (Well@Work Medtronic)
• Group Health Plan, Inc.

• Durable Medical Equipment & Medical Supplies in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.