Organization · NPI-2

Allina Health System

Family Medicine · Plymouth, MN

NPI number1285930636

StatusActive

Last updated in NPPESJan 21, 2025

Details

NPI: 1285930636
Entity type: Organization (NPI-2)
Legal business name: Allina Health System
Organization subpart: No
Enumeration date: Feb 2, 2011
Certification date: Jan 21, 2025
Last updated: Jan 21, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
261Q00000X	Clinic/Center	–	–

Other names

Allina Health Plymouth Clinic (Doing Business As)

Practice location

2855 Campus Dr Ste 400
Plymouth, MN 55441-2659

Phone 763-577-7400 · Fax 763-577-7440

Mailing address

Po Box 43
Mail Route 10585
Minneapolis, MN 55440-0043

Phone 612-262-1166

Authorized official

Dominica Tallarico
Coo
6122222222

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