Allina Health Blaine Clinic | |
10705 Town Square Dr Ne Ste 100 Blaine MN 55449-8185 | |
(763) 236-5400 | |
(763) 236-5350 |
Full Name | Allina Health Blaine Clinic |
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Speciality | Clinic/Center |
Location | 10705 Town Square Dr Ne Ste 100, Blaine, Minnesota |
Authorized Official Name and Position | Dominica 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 |
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Allina Health Blaine Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Blaine Clinic 10705 Town Square Dr Ne Ste 100 Blaine MN 55449-8185 Ph: (763) 236-5400 |
NPI Number | 1932405388 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 03/25/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120301000111 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932405388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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