| Allina Health Centennial Lakes Clinic | |
|
7373 France Ave S Ste 202 Edina MN 55435-4551 | |
| (952) 835-1311 | |
| Not Available |
| Full Name | Allina Health Centennial Lakes Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 7373 France Ave S Ste 202, Edina, 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 |
|---|---|
| Allina Health Centennial Lakes Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Centennial Lakes Clinic 7373 France Ave S Ste 202 Edina MN 55435-4551 Ph: (952) 835-1311 |
| NPI Number | 1699014167 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20140123001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699014167 | NPI | - | NPPES |
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