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Allina Health System — NPI 1023314804, St Paul, MN | NPI Central

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OrganizationActive

Allina Health System

NPI 1023314804 · Family Medicine Physician · St Paul, MN

Provider details

NPI number: 1023314804
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Dominica Tallarico, Coo(612) 222-2222

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Sleep Medicine (Family Medicine) Physician207QS1201X
Allopathic & Osteopathic Physicians
Sleep Disorder Diagnostic Clinic/Center261QS1200X
Ambulatory Health Care Facilities

Practice location

1021 Bandana Blvd E

Ste 100

St Paul, MN 55108-5109

Phone: (651) 241-9700

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

Po Box 43

Minneapolis, MN 55440-0043

Other names (DBA / former)

Doing business as: Allina Health Bandana Square Clinic
Doing business as: Allina Health Bandana Square Clinic

Additional practice locations (1)

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

Registry dates

Enumerated: 2011-01-27
Last updated: 2025-01-14
Certified: 2025-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.