Allina Health System
Organization Active NPI Clinic/Center · Saint Paul, MN
NPI 1891738282 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1891738282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ALLINA HEALTH SYSTEM
- Practice address
- 333 Smith Ave N
Saint Paul, MN 55102-2344 - Phone
- (651) 635-9173
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dominica Tallarico
- Title
- Coo
- Phone
- (612) 222-2222
Practitioners 44
-
Heather Anderson, NP
-
Jill S Carlson, RNFA, NP
-
Christine K Chua, MD
-
Amanda M Cleppe, PA
-
Anne Elisabeth Dietrich, M.D.
-
Robert L Gauthier, M.D.
-
Jennifer Elaine Gross, PA-C, ATC
-
Tiffany Ann Habben, D.O.
-
Misbil Farah Hagi-Salaad, APRN,CNP
-
Thomas J Helm, M.D.
-
Michael Blake Jacob, PA-C
-
Channing James, M.D.
-
Abby Kershaw, PAC
-
Robyn Larson, CRNA
-
Andrea Means Lehman, FNP
-
Lori Ann Martin, MA, LPCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319000460 | MN | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 4,246 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
333 Smith Ave N
Saint Paul, MN 55102-2344
Mailing address
PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other practice location 1
800 E 28th St
Minneapolis, MN 55407-3723
Phone (651) 628-2999
Other practice location 2
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (651) 635-9173
Other practice location 3
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (651) 635-9173
Other practice location 4
550 Osborne Rd NE
Fridley, MN 55432-2718
Phone (651) 638-2999
Other names
- Allina Health Palliative Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Other providers in Saint Paul, MN
- Allina Health System
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- Allina Health System
- Allina Health System
- Allina Health System
- Allina Health System
- Allina Health System
- Allison Ward Psychotherapy PLLC
All providers in Saint Paul, MN · Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.