MERCY HOSPITAL
NPI 1063448959
Hospitalist in Coon Rapids, MN

NPI Status: Active since June 23, 2006

Contact Information

4050 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 236-6000

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  • Organization
  • Hospitalist
  • Accepts Insurance
  • CLIA Number: 24D0402969
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About MERCY HOSPITAL

This page provides the complete NPI Profile along with additional information for Mercy Hospital, a provider established in Coon Rapids, Minnesota operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1063448959 assigned on June 2006. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Mercy Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mercy Hospital. The authorized official of this NPI record is Dominica Tallarico (Coo)

NPI
1063448959
Provider Legal Name
ALLINA HEALTH SYSTEM
Other Organization Name
MERCY HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4050 COON RAPIDS BLVD NW COON RAPIDS, MN 55433
Location Phone
(763) 236-6000
Mailing Address
PO BOX 43 MAIL ROUTE 10585 MINNEAPOLIS, MN 55440
Mailing Phone
(612) 262-1166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2006
Last Update Date
01-14-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOMINICA TALLARICO

Authorized Official Title
COO
Authorized Official Phone
(612) 222-2222

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0402969
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. JOSEPH J. GOSWITZ
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mercy Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MERCY HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063448959, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 4 + 1 + 6 + 9 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063448959.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Pediatrics
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Family Medicine
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063448959, enumerated as an "organization" on June 23, 2006.

The provider is located at 4050 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 and the phone number is (763) 236-6000.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.