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BLOOMINGTON LAKE CLINIC, LTD
NPI 1215090501
Clinic/Center - Multi-Specialty in Bloomington, MN

Active since December 18, 2006
7901 XERXES AVE S STE 116, BLOOMINGTON, MN 55431(952) 888-2024(952) 888-3985 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloomington Lake Clinic, Ltd NPPES

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

BLOOMINGTON LAKE CLINIC, LTD (NPI 1215090501) is a healthcare organization registered as a multi-specialty in Bloomington, Minnesota and active in the NPI registry since December 2006. The organization lists Debra J Barger, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1215090501
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLOOMINGTON LAKE CLINIC, LTD
Location Address7901 XERXES AVE S STE 116Bloomington, MN 55431-1200
Mailing Address7901 Xerxes Ave S Ste 116Bloomington, MN 55431-1200 · (952) 888-2024 · Fax (952) 888-3985
Phone(952) 888-2024
Fax(952) 888-3985
Organization SubpartNo
Authorized OfficialDebra J BargerAssistant Administrator · (612) 277-2165
Enumeration DateDecember 18, 2006
Last NPPES UpdateApril 4, 2011
✔ NPI 1215090501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in MN · 23
7901 XERXES AVE S STE 116, Bloomington, MN 55431
Open in Google Maps ↗

Other Identifiers 4

Other1713MN · Health Partners
OtherC406MN · Ucare Minnesota
Medicare ID-Type UnspecifiedC00001MN
Medicaid302510100MN

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.

NIMO HASSAN JAMA
Behavior Technician
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (651) 431-6628
ALLEN DENNIS KENNY
Behavior Technician
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (651) 431-6628
SAMANTHA RAY SCHILTZ
Behavior Technician
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (651) 431-6628
JESSICA LEE RASMUSSEN
Behavior Technician
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (651) 431-6628
HANNAH MARGARET CODE MA
Behavior Analyst
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (612) 201-2468
JENNA RAAD
Behavior Analyst
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (612) 201-2468
JAMES K STRUVE MD
Family Medicine (Geriatric Medicine)
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (952) 888-2024
HANNAH MARIE RADEMACHER
Behavior Technician
7901 XERXES AVE S STE 116
BLOOMINGTON, MN 55431
Hennepin County (651) 431-6628

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 Bloomington Lake Clinic, Ltd's NPI number?

The NPI number for Bloomington Lake Clinic, Ltd is 1215090501. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Bloomington Lake Clinic, Ltd located?

Bloomington Lake Clinic, Ltd is located at 7901 Xerxes Ave S Ste 116, Bloomington, MN 55431. The listed phone number is (952) 888-2024.

What is Bloomington Lake Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Bloomington Lake Clinic, Ltd was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.