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Allina Health System — NPI 1063832475, Faribault, MN | NPI Central

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NPI 1063832475

OrganizationActive

Allina Health System

NPI 1063832475 · Emergency Medicine Physician · Faribault, MN

Provider details

NPI number: 1063832475
Entity type: Organization
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Dominica Tallarico, Coo(612) 222-2222

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000X
Allopathic & Osteopathic Physicians
Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians

Practice location

200 State Ave

Faribault, MN 55021-6339

Phone: (507) 334-6451

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 Faribault Medical Center Professional Services

Registry dates

Enumerated: 2014-04-24
Last updated: 2025-02-24
Certified: 2025-02-24

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