GROUP HEALTH PLAN INC
Complete NPI Record 1194051151
Clinic/Center - Multi-Specialty in Andover, MN
Active since October 27, 2009
Complete NPI Dataset
This page contains the complete raw NPPES record for Group Health Plan Inc (NPI 1194051151), a clinic/center organization in Andover, MN. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1194051151 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: GROUP HEALTH PLAN INC Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/31
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 8170 33RD AVE S Field 7/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: PO BOX 1309 MS 21110Q Field 8/31
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: MINNEAPOLIS Field 9/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: MN Field 10/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 554254516 Field 11/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9528837469 Field 13/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9528835395 Field 14/31
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 15245 BLUEBIRD ST NW Field 15/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: ANDOVER Field 16/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: MN Field 17/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 553043538 Field 18/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7635874600 Field 20/31
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7635874615 Field 21/31
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: BJORKMAN Field 24/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LISA Field 25/31
- The first name of the authorized official.
- Authorized Official Title or Position: DIRECTOR Field 26/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9528837469 Field 27/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM1300X Field 28/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 30/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Other Organization Names 2
Additional business and trade names this provider has on file with the NPPES registry.
HealthPartners Doing Business As
Name 1/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
HealthPartners Northwest Alliance Doing Business As
Name 2/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 3
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
11475 Robinson Dr NW
Location 1/3Coon Rapids, MN 55433-3746 · Phone (763) 587-9000 · Fax (763) 587-9130
2621 Greenhaven Rd
Location 2/3Anoka, MN 55303-5566 · Phone (763) 587-4488 · Fax (763) 587-4489
530 3rd St NW
Location 3/3Elk River, MN 55330-1445 · Phone (763) 587-4800 · Fax (763) 587-4845
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