Organization · NPI-2

Allina Health System

Clinic/Center, Mental Health (Including Community Mental Health Center) · Fridley, MN

NPI number1598700528

StatusActive

Last updated in NPPESFeb 24, 2025

Details

NPI: 1598700528
Entity type: Organization (NPI-2)
Legal business name: Allina Health System
Organization subpart: No
Enumeration date: Jun 16, 2006
Certification date: Feb 24, 2025
Last updated: Feb 24, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
103T00000X	Psychologist	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–

Other names

Allina Health Mental Health - Mercy Hospital, Unity Campus (Doing Business As)

Practice location

520 Osborne Rd Ne Ste 210
Fridley, MN 55432-2718

Phone 763-236-3800

Mailing address

Po Box 43
Mr 10585
Minneapolis, MN 55440-0043

Phone 612-262-1166

Other practice locations

16927 35th Dr Se
Bothell, WA 98012-5484

Phone 763-236-3800

Authorized official

Dominica Tallarico
Coo
6122222222

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