Allina Health Elk River Clinic | |
14181 Business Center Dr Nw Elk River MN 55330-4654 | |
(763) 236-0500 | |
(763) 236-0565 |
Full Name | Allina Health Elk River Clinic |
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Speciality | Clinic/Center |
Location | 14181 Business Center Dr Nw, Elk River, 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 Elk River Clinic Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Elk River Clinic 14181 Business Center Dr Nw Elk River MN 55330-4654 Ph: (763) 236-0500 |
NPI Number | 1386940732 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 03/21/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120227000188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386940732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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