| Allina Health Champlin Clinic | |
|
11269 Jefferson Hwy N Champlin MN 55316-3123 | |
| (763) 236-0600 | |
| (763) 427-9626 |
| Full Name | Allina Health Champlin Clinic |
|---|---|
| Speciality | General Practice |
| Location | 11269 Jefferson Hwy N, Champlin, 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 Champlin Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Champlin Clinic 11269 Jefferson Hwy N Champlin MN 55316-3123 Ph: (763) 236-0600 |
| NPI Number | 1871899674 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120301000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871899674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Mayfair Home Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11872 Emery Village Dr N, Champlin, MN 55316 Phone: 763-447-7411 |