OrganizationActive
Albertville - St. Michael Clinic
NPI 1285804336 · Non-Pharmacy Dispensing Site · Albertville, MN
Albertville - St. Michael Clinic is a Non-Pharmacy Dispensing Site organization in Albertville, MN (NPI 1285804336).
Provider details
- NPI number
- 1285804336
- 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
- 53129 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
11091 Jason Ave Ne
Albertville, MN 55301-4699
Phone: (763) 684-8300
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2008-03-05
- Last updated
- 2015-07-14
Frequently asked questions
- What is Albertville - St. Michael Clinic's NPI number?
- Albertville - St. Michael Clinic's National Provider Identifier (NPI) is 1285804336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Albertville - St. Michael Clinic?
- Albertville - St. Michael Clinic is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Albertville - St. Michael Clinic located?
- Albertville - St. Michael Clinic's practice location on file with NPPES is 11091 Jason Ave Ne, Albertville, MN 55301-4699.
- What is Albertville - St. Michael Clinic's phone number?
- The practice phone number listed in the NPPES registry for Albertville - St. Michael Clinic is (763) 684-8300.
- Who is the authorized official for Albertville - St. Michael Clinic?
- The authorized official listed on Albertville - St. Michael Clinic'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 Albertville - St. Michael Clinic's NPI active?
- Yes — Albertville - St. Michael Clinic's NPI (1285804336) is active in the NPPES registry as of the last update on 2015-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.