OrganizationActive
North Clinic, PA
NPI 1134374523 · Non-Pharmacy Dispensing Site · Crystal, MN
North Clinic, PA is a Non-Pharmacy Dispensing Site organization in Crystal, MN (NPI 1134374523).
Provider details
- NPI number
- 1134374523
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- 33827 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
5109 36th Ave N
Crystal, MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- North Clinic - Robbinsdale
- Doing business as
- North Clinic - Robbinsdale
Registry dates
- Enumerated
- 2008-11-26
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is North Clinic, PA's NPI number?
- North Clinic, PA's National Provider Identifier (NPI) is 1134374523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Clinic, PA?
- North Clinic, PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is North Clinic, PA located?
- North Clinic, PA's practice location on file with NPPES is 5109 36th Ave N, Crystal, MN 55422-2007.
- What is North Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for North Clinic, PA is (763) 587-7900.
- Who is the authorized official for North Clinic, PA?
- The authorized official listed on North Clinic, PA's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Clinic, PA's NPI active?
- Yes — North Clinic, PA's NPI (1134374523) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.