Columbia Park Medical Group, PA
NPI 1386749851 · Multi-Specialty Clinic/Center · Blaine, MN
Columbia Park Medical Group, PA is a Multi-Specialty Clinic/Center organization in Blaine, MN (NPI 1386749851).
Provider details
- NPI number
- 1386749851
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Columbia Park Medical Group, PA
- Organization subpart
- Yes
- Authorized official
- Joen Condon, Chief Financial Officer(763) 586-5839
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
19 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
Other names (DBA / former)
- Other name
- Cpmg-Blaine Clinic
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2007-11-13
Frequently asked questions
- What is Columbia Park Medical Group, PA's NPI number?
- Columbia Park Medical Group, PA's National Provider Identifier (NPI) is 1386749851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Columbia Park Medical Group, PA?
- Columbia Park Medical Group, PA is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Columbia Park Medical Group, PA located?
- Columbia Park Medical Group, PA's practice location on file with NPPES is 10961 Club West Pkwy, Blaine, MN 55449-4671.
- What is Columbia Park Medical Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Columbia Park Medical Group, PA is (763) 572-5710.
- Who is the authorized official for Columbia Park Medical Group, PA?
- The authorized official listed on Columbia Park Medical Group, PA's NPPES record is Joen Condon, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Columbia Park Medical Group, PA's NPI active?
- Yes — Columbia Park Medical Group, PA's NPI (1386749851) is active in the NPPES registry as of the last update on 2007-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.