Silver Lake Clinic
NPI 1053347179 · Primary Care Clinic/Center · St Anthony, MN
Silver Lake Clinic is a Primary Care Clinic/Center organization in St Anthony, MN (NPI 1053347179).
Provider details
- NPI number
- 1053347179
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Boran, Chief Financial Officer, Vp Finance(763) 520-5048
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Silver Lake Clinic's NPI number?
- Silver Lake Clinic's National Provider Identifier (NPI) is 1053347179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Silver Lake Clinic?
- Silver Lake Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Silver Lake Clinic located?
- Silver Lake Clinic's practice location on file with NPPES is 2600 39th Ave Ne, St Anthony, MN 55421-4372.
- What is Silver Lake Clinic's phone number?
- The practice phone number listed in the NPPES registry for Silver Lake Clinic is (612) 706-2900.
- Who is the authorized official for Silver Lake Clinic?
- The authorized official listed on Silver Lake Clinic's NPPES record is Patrick Boran, Chief Financial Officer, Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Silver Lake Clinic's NPI active?
- Yes — Silver Lake Clinic's NPI (1053347179) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.