NPI 1699501601 · live from the CMS NPI Registry
Allina Health System
Family Medicine in Eden Prairie, MN. National Provider Identifier 1699501601, active.
NPI record
| NPI | 1699501601 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 775 Prairie Center Dr Ste 400, Eden Prairie, MN 55344 |
| Practice phone | 612-262-1166 |
| Mailing address | Po Box 43, Route 10585, Minneapolis, MN 55440 |
| Enumerated | September 9, 2024 |
| Last updated | February 28, 2025 |
| Authorized official | Dominica Talarico, Coo |
| Other names | Allina Health Eden Prairie Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.