ALLINA HEALTH CHASKA CLINIC
NPI 1104122555
Clinic/Center in Chaska, MN
NPI Status: Active since February 02, 2011
Contact Information
111 HUNDERTMARK RD STE 220
CHASKA, MN
ZIP 55318
Phone: (952) 448-2050
Fax: (952) 448-5952
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 24D0400118
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 09-17-2026
About ALLINA HEALTH CHASKA CLINIC
This page provides the complete NPI Profile along with additional information for Allina Health Chaska Clinic, a provider established in Chaska, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104122555 assigned on February 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Allina Health Chaska Clinic. The authorized official of this NPI record is Dominica Tallarico (Coo)
- NPI
- 1104122555
- Provider Legal Name
- ALLINA HEALTH SYSTEM
- Other Organization Name
- ALLINA HEALTH CHASKA CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 111 HUNDERTMARK RD STE 220 CHASKA, MN 55318
- Location Phone
- (952) 448-2050
- Location Fax
- (952) 448-5952
- 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
- 02-02-2011
- Last Update Date
- 01-14-2025
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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.
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
- 24D0400118
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 18, 2024
- Certificate Expiration Date
- September 17, 2026
- Laboratory Director
- DR. JENA C. MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Allina Health Chaska Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ALLINA HEALTH CHASKA CLINIC
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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 1104122555, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
CHASKA, MN 55318
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104122555, enumerated as an "organization" on February 02, 2011.
The provider is located at 111 HUNDERTMARK RD STE 220 CHASKA, MN 55318 and the phone number is (952) 448-2050.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
