NPIMap

Organization Active NPI

Normandale Community College

  • Clinic/Center
  • Bloomington, MN
National Provider Identifier
1992851216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORMANDALE COMMUNITY COLLEGE
Practice address
9700 France Ave S
Bloomington, MN 55431-4309
Phone
(952) 487-7020
Fax
(952) 487-7173
NPI assigned
Jan 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Craig Erickson
Title
Chief Financial Officer
Phone
(952) 487-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MN Primary

Addresses

Primary practice location

9700 France Ave S
Bloomington, MN 55431-4309

Mailing address

9700 France Ave S
Bloomington, MN 55431-4309
Phone (952) 487-7020

Other names 1

  • Normandale Community Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Cloud State University27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

9700 France Ave S
Bloomington, MN 55431
Phone (952) 487-7020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992851216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 FRANCE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314309",
            "telephone_number": "952-487-7020",
            "fax_number": "952-487-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 FRANCE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314309",
            "telephone_number": "952-487-7020",
            "fax_number": "952-487-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDALE COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "952-487-8232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Normandale Community Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.