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ALLINA HEALTH CHASKA CLINIC
NPI 1104122555
Clinic/Center in Chaska, MN

Active since February 02, 2011CLIA 24D0400118 · Waiver
111 HUNDERTMARK RD STE 220, CHASKA, MN 55318(952) 448-2050(952) 448-5952 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 7, 2023, Sep 1, 2020, Nov 22, 2019 and 1 more (4 updates tracked since 2019).

About Allina Health Chaska Clinic NPPES

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

ALLINA HEALTH CHASKA CLINIC (NPI 1104122555) is a healthcare organization registered as a clinic/center in Chaska, Minnesota and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1104122555
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address111 HUNDERTMARK RD STE 220Chaska, MN 55318-1197
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Phone(952) 448-2050
Fax(952) 448-5952
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateFebruary 2, 2011
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1104122555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
111 HUNDERTMARK RD STE 220, Chaska, MN 55318
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Other Names 1

Doing Business AsAllina Health Chaska Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 24D0400118

Allina Health Chaska Clinic · Chaska, MN
Active · expires Sep 17, 2026
CLIA Number24D0400118
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Jena C. Martin
Laboratory Phone(952) 448-2050
Laboratory LocationAllina Health Chaska Clinic111 Hundertmark Road Suite 220, Chaska, MN 55318
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 5

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

HEIDI LOUISE MANGELSEN LICSW
Social Worker (Clinical)
111 HUNDERTMARK RD STE 220
CHASKA, MN 55318
Carver County (952) 448-2050
ALEX BLOOMQUIST PA-C
Physician Assistant
111 HUNDERTMARK RD STE 220
CHASKA, MN 55318
Carver County (952) 856-4001
DR. LUCAS JOEL HAMMELL D.O.
Family Medicine
111 HUNDERTMARK RD STE 220
CHASKA, MN 55318
Carver County (952) 448-2050
MARA ANN KLIPFEL JACKSON PA-C, ATC
Physician Assistant
111 HUNDERTMARK RD STE 220
CHASKA, MN 55318
Carver County (952) 448-2050
DR. MICHAEL A STILLER M.D.
Physical Medicine & Rehabilitation
111 HUNDERTMARK RD STE 220
CHASKA, MN 55318
Carver County (952) 448-2050

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 1104122555. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as Allina Health Chaska Clinic.

Where is Allina Health System located?

Allina Health System is located at 111 Hundertmark Rd Ste 220, Chaska, MN 55318. The listed phone number is (952) 448-2050.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Allina Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0400118) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from 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 19 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.