OrganizationActive
Allina Health System
NPI 1871899674 · General Practice Physician · Champlin, MN
Provider details
- NPI number
- 1871899674
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominica Tallarico, Coo(612) 222-2222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Practice location
11269 Jefferson Hwy N
Champlin, MN 55316-3123
Phone: (763) 236-0600
Fax: (763) 427-9626
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Other names (DBA / former)
- Doing business as
- Allina Health Champlin Clinic
- Doing business as
- Allina Health Champlin Clinic
Registry dates
- Enumerated
- 2011-01-27
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.