Organization · Type 2 NPI

Allina Health System

Clinic/Center · Shakopee, MN

NPI number 1013213461 Active

Practice location

4201 Dean Lakes Blvd Ste 120
Shakopee, MN 55379-2850

Call (952) 496-6700 Map

Fax (952) 445-6448

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

Other clinic/center providers in Shakopee

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NPI record

NPI: 1013213461
Entity type: Organization (Type 2)
Issued: Feb 2, 2011
Last updated: Jan 14, 2025
Status: Active

Other names

<unavail>
Allina Health Dean Lakes Clinic · doing business as
Allina Health Dean Lakes Clinic · doing business as

Authorized official

Dominica Tallarico
COO
(612) 222-2222

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About NPI 1013213461

Allina Health System's National Provider Identifier is 1013213461, issued on Feb 2, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Shakopee, MN. The record was last updated on Jan 14, 2025.