Organization · Type 2 NPI

Allina Health System

Family Medicine Physician · St. Paul, MN

NPI number 1023314804 Active

Practice location

1021 Bandana Blvd E, Ste 100
St. Paul, MN 55108-5109

Call (651) 241-9700 Map

Mailing address

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

Other practice locations

1010 Bandana Blvd E, Ste 236, St. Paul, MN 55108-5107 · (651) 641-7100

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Sleep Medicine (Family Medicine) Physician	207QS1201X	None listed
Sleep Disorder Diagnostic Clinic/Center	261QS1200X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

36 other providers at this address

Other family medicine physician providers in St. Paul

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NPI record

NPI: 1023314804
Entity type: Organization (Type 2)
Issued: Jan 27, 2011
Last updated: Jan 14, 2025
Status: Active

Other names

<unavail>
Allina Health Bandana Square Clinic · doing business as
Allina Health Bandana Square Clinic · doing business as

Authorized official

Dominica Tallarico
COO
(612) 222-2222

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023314804

Allina Health System's National Provider Identifier is 1023314804, issued on Jan 27, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 14, 2025.