| Allina Health Annandale Clinic | |
|
440 Elm St E Annandale MN 55302-1109 | |
| (320) 274-3744 | |
| (320) 274-8194 |
| Full Name | Allina Health Annandale Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 440 Elm St E, Annandale, Minnesota |
| Authorized Official Name and Position | Dominico Tallarico (COO) |
| Authorized Official Contact | 6122222222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allina Health Annandale Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Annandale Clinic 440 Elm St E Annandale MN 55302-1109 Ph: (320) 274-3744 |
| NPI Number | 1457657249 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120221000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457657249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Above And Beyond Therapeutic Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 Elm St E, Annandale, MN 55302 Phone: 320-221-2674 |