Allina Health System

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ALLINA HEALTH SYSTEM

Practice address

701 Dellwood St S
Cambridge, MN 55008-1920

Phone

(763) 689-8700

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Dominica Tallarico

Title

Coo

Phone

(612) 222-2222

Specialties & licenses 1

Addresses

Other names 1

• Allina Health Urgent Care - Cambridge Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rianot Tolulope Amzat, M.D.

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1982979373
  NPD
• Mathias P Connally, PA-C

  • Physician Assistant
  • Saint Paul, MN
  • NPI 1245680214
  NPD
• Dalton Michael Neil, PA-C

  • Physician Assistant
  • Coon Rapids, MN
  • NPI 1780231175
  NPD
• Kathryn Susan Olson, LPCC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1790295459
  NPD
• Sarah Tollefson, N.P.

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1053509570
  NPD
• Alissa S Ventura, PA-C

  • Surgical Physician Assistant
  • Maple Grove, MN
  • NPI 1740255835
  NPD
• Danielle Wright, PA

  • Physician Assistant
  • New York, NY
  • NPI 1982895397
  NPD

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1881421345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43, ROUTE 10860",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DELLWOOD ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081920",
            "telephone_number": "763-689-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allina Health Urgent Care - Cambridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System
• Allina Health System
• Allina Health System
• Allina Health System
• Allina Health System
• Allina Health System
• Allison Wiste Webb, Licsw PLLC
• Jennifer Marie Andersen, LPCC
• Billie Jo Lynn Anderson, RN
• Brian Richard Anderson, DDS

• Urgent Care Clinic/Center in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.