NPIMap

Group Health Plan, Inc.

Organization Active NPI Health Service Clinic/Center · Anoka, MN

NPI 1962704346 · NPPES record last updated Nov 17, 2010

Key facts

NPI
1962704346
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
GROUP HEALTH PLAN, INC.
Practice address
2100 3Rd Ave
Anoka County Government Center
Anoka, MN 55303-2235
Phone
(952) 883-7598
Fax
(952) 883-8732
NPI assigned
Nov 17, 2010
Organization subpart
No

Authorized official

Name
David A Dziuk
Title
Cfo
Phone
(952) 883-6535

Other NPIs on the same Medicare enrollment 27

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

View all 27

Practitioners 282

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

View all 282

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031105000417 MN Part B Supplier - Clinic/Group Practice 1759293954 Receives reassigned benefits from 2,613 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

2100 3Rd Ave
Anoka County Government Center
Anoka, MN 55303-2235

Mailing address

8170 33Rd Ave S
Mailstop 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-7469

Other names

  • HealthPartners Well@Work-Anoka County Doing business as

Other providers in Anoka, MN

All providers in Anoka, MN · Health Service Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.