ALLINA HEALTH FARIBAULT CLINIC
NPI 1013213826
Family Medicine in Faribault, MN

Active since January 27, 2011CLIA 24D0398150 · Waiver
100 STATE AVE, FARIBAULT, MN 55021(507) 334-3921(507) 332-6683 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2023, Sep 1, 2020, Nov 22, 2019 and 2 more (5 updates tracked since 2018).

About Allina Health Faribault Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLINA HEALTH FARIBAULT CLINIC (NPI 1013213826) is a healthcare organization registered as a family medicine in Faribault, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1013213826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address100 STATE AVEFaribault, MN 55021-6337
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(507) 332-6683
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateJanuary 27, 2011
Last NPPES UpdateJanuary 14, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1013213826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
100 STATE AVE, Faribault, MN 55021

Other Names 1

Doing Business AsAllina Health Faribault Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0398150

Allina Health Faribault Clinic · Faribault, MN
Active · expires Jan 24, 2028
CLIA Number24D0398150
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Lawrence J. Burgart
Laboratory Phone(507) 334-3921
Laboratory LocationAllina Health Faribault Clinic100 State Avenue, Faribault, MN 55021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
100 STATE AVE
FARIBAULT, MN 55021
Audiologist
100 STATE AVE
FARIBAULT, MN 55021
Internal Medicine
100 STATE AVE
FARIBAULT, MN 55021
Psychologist
100 STATE AVE
FARIBAULT, MN 55021
Social Worker (Clinical)
100 STATE AVE
FARIBAULT, MN 55021
Family Medicine
100 STATE AVE
FARIBAULT, MN 55021
Social Worker (Clinical)
100 STATE AVE
FARIBAULT, MN 55021
Family Medicine
100 STATE AVE
FARIBAULT, MN 55021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1013213826. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Faribault Clinic.

Where is Allina Health System located?

Allina Health System is located at 100 State Ave, Faribault, MN 55021. The listed phone number is (507) 334-3921.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Allina Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0398150) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from HealthPartners and Medica list Allina Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.