| Allina Health Chaska Clinic | |
|
111 Hundertmark Rd Ste 220 Chaska MN 55318-1197 | |
| (952) 448-2050 | |
| (952) 448-5952 |
| Full Name | Allina Health Chaska Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Hundertmark Rd Ste 220, Chaska, 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 Chaska Clinic Po Box 43 Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Chaska Clinic 111 Hundertmark Rd Ste 220 Chaska MN 55318-1197 Ph: (952) 448-2050 |
| NPI Number | 1104122555 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20120302000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104122555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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