Organization · NPI-2
Allina Health System
Family Medicine · Woodbury, MN
NPI number1902102353
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1902102353
- Entity type
- Organization (NPI-2)
- Legal business name
- Allina Health System
- Organization subpart
- No
- Enumeration date
- Feb 2, 2011
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Other names
- Allina Health Woodbury Clinic (Doing Business As)
Practice location
8675 Valley Creek RdWoodbury, MN 55125-2337
Phone 651-241-3000 · Fax 651-241-3500
Mailing address
Po Box 43Mail Route 10585
Minneapolis, MN 55440-0043
Phone 612-262-1166
Authorized official
Dominica Tallarico
Coo
6122222222
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