Organization · Type 2 NPI

Allina Health System

Family Medicine Physician · Coon Rapids, MN

NPI number 1295031649 Active

Practice location

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841

Call (763) 780-9155 Map

Fax (763) 236-1312

Mailing address

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

Other practice locations

11850 Blackfoot St NW Ste 450, Coon Rapids, MN 55433-2773 · (763) 236-0800

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	None listed
Urgent Care Clinic/Center	261QU0200X	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.

216 other providers at this address

Other family medicine physician providers in Coon Rapids

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NPI record

NPI: 1295031649
Entity type: Organization (Type 2)
Issued: Feb 2, 2011
Last updated: Jan 21, 2025
Status: Active

Other names

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Allina Health Coon Rapids Clinic · doing business as
Allina Health Coon Rapids 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 1295031649

Allina Health System's National Provider Identifier is 1295031649, issued on Feb 2, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 21, 2025.