NPIMap

Organization Active NPI

North Memorial Health Care

Doing business as North Memorial Health Specialty Clinic

  • Medical Specialty Clinic/Center
  • Robbinsdale, MN
National Provider Identifier
1871927715
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NORTH MEMORIAL HEALTH CARE
Doing business as
North Memorial Health Specialty Clinic
Practice address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone
(763) 581-5200
NPI assigned
Aug 28, 2013
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MEMORIAL HEALTH CAREAs reported in NPPES

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Mailing address

PO Box 735463
Chicago, IL 60673-5463
Phone (763) 581-5200

Other practice location 1

9825 Hospital Dr
Maple Grove, MN 55369-4479
Phone (763) 581-3700

Other practice location 2

13800 83rd Way N
Maple Grove, MN 55369-7016
Phone (763) 520-5200

Other practice location 3

3366 Oakdale Ave N
Robbinsdale, MN 55422-2948
Phone (763) 581-3700

Other practice location 4

4209 Webber Pkwy
Minneapolis, MN 55412-1747
Phone (763) 581-2273

Other practice location 5

800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273

Other practice location 6

15450 Highway 7
Minnetonka, MN 55345-3522
Phone (763) 581-0555

Other practice location 7

1835 County Road C W
Roseville, MN 55113-1352
Phone (763) 581-0340

Other practice location 8

8559 Edinbrook Pkwy
Brooklyn Park, MN 55443-3747
Phone (763) 581-2273

Other practice location 9

8100 42nd Ave N
New Hope, MN 55427-1107
Phone (763) 581-2273

Other practice location 10

8301 Golden Valley Rd
Golden Valley, MN 55427-4435
Phone (763) 581-2273

Other practice location 11

2600 29th Ave NE
St Anthony, MN 55418-2343
Phone (763) 581-2273

Other practice location 12

9855 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-2273

Other practice location 13

5615 Xerxes Ave N
Brooklyn Center, MN 55430-2819
Phone (763) 581-2273

Other practice location 14

1001 Hart Blvd
Monticello, MN 55362-8670
Phone (763) 581-5400

Other practice location 15

1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 581-5400

Other practice location 16

4181 108th Ave NE
Blaine, MN 55449-7439
Phone (763) 581-2273

Other practice location 17

480 Osborne Rd NE
Fridley, MN 55432-2773
Phone (763) 581-3700

Other names 1

  • North Memorial Health Specialty Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

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
This NPI is an additional NPI on the enrollment
Practice locations: Maple Grove, MN; Golden Valley, MN; Minneapolis, MN; Minnetonka, MN; Monticello, MN; New Hope, MN; Robbinsdale, MN; Stillwater, MN…

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
North Mem Health Care

Locations

5615 Xerxes Ave N
Ste D
Brooklyn Center, MN 55430
Phone (763) 581-5630

9855 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-5140

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

9855 Hospital Dr
Ste 125
Maple Grove, MN 55369
Phone (763) 980-3600

9855 Hospital Dr
Ste 275
Maple Grove, MN 55369
Phone (763) 981-3400

4181 108th Ave NE
Ste 110
Minneapolis, MN 55449

Practitioners & affiliated clinicians

Practitioners 78

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 78

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1871927715",
    "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": "763-581-5200"
        },
        {
            "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": "763-581-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9825 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694479",
            "country_code": "US",
            "telephone_number": "763-581-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13800 83rd Way N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697016",
            "country_code": "US",
            "telephone_number": "763-520-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3366 Oakdale Ave N",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222948",
            "country_code": "US",
            "telephone_number": "763-581-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4209 Webber Pkwy",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121747",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Freeport Ave NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553302723",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15450 Highway 7",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553453522",
            "country_code": "US",
            "telephone_number": "763-581-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 County Road C W",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551131352",
            "country_code": "US",
            "telephone_number": "763-581-0340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8559 Edinbrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554433747",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 42nd Ave N",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "554271107",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Golden Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274435",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 29th Ave NE",
            "address_purpose": "LOCATION",
            "city": "St Anthony",
            "state": "MN",
            "postal_code": "554182343",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9855 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694648",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5615 Xerxes Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302819",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Hart Blvd",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MN",
            "postal_code": "553628670",
            "country_code": "US",
            "telephone_number": "763-581-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Highway 25 N",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131930",
            "country_code": "US",
            "telephone_number": "763-581-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 108th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554497439",
            "country_code": "US",
            "telephone_number": "763-581-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Osborne Rd NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554322773",
            "country_code": "US",
            "telephone_number": "763-581-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH MEMORIAL HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MEMORIAL HEALTH CARE",
        "enumeration_date": "2013-08-28",
        "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": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Memorial Health Specialty Clinic",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.