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NPI 1730485186

OrganizationActive

Allina Health System

NPI 1730485186 · Clinic/Center · Maple Grove, MN

Provider details

NPI number: 1730485186
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Dominica Tallarico, Coo(612) 222-2222

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Practice location

7840 Vinewood Ln N

Maple Grove, MN 55369-7185

Phone: (763) 236-0200

Fax: (763) 420-5531

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 Maple Grove Clinic
Doing business as: Allina Health Maple Grove Clinic

Registry dates

Enumerated: 2011-02-02
Last updated: 2025-02-25
Certified: 2025-02-25

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

Allina Health System — NPI 1730485186, Maple Grove, MN | NPI Central