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ALBERTVILLE - ST. MICHAEL CLINIC
NPI 1285804336
Non-Pharmacy Dispensing Site in Albertville, MN

Active since March 05, 2008
11091 JASON AVE NE, ALBERTVILLE, MN 55301(763) 684-8300 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Albertville - St. Michael Clinic NPPES

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

ALBERTVILLE - ST. MICHAEL CLINIC (NPI 1285804336) is a healthcare organization registered as a non-pharmacy dispensing site in Albertville, Minnesota and active in the NPI registry since March 2008. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1285804336
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameALBERTVILLE - ST. MICHAEL CLINIC
Location Address11091 JASON AVE NEAlbertville, MN 55301-4699
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(763) 684-8300
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateMarch 5, 2008
Last NPPES UpdateJuly 14, 2015
✔ NPI 1285804336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MN · 53129
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
11091 JASON AVE NE, Albertville, MN 55301
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Other Providers at the Same Location NPPES 6

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

STELLIS HEALTH, PA
Clinic/Center (Multi-Specialty)
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Wright County (763) 684-8300
NOW CARE MEDICAL CENTERS
Clinic/Center (Urgent Care)
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Wright County (763) 315-5000
DR. NATHANIA KATHLEEN HAMMEL D.O.
Family Medicine
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Wright County (763) 684-8300
PDG, PA
Clinic/Center (Dental)
11091 JASON AVE NE, SUITE 3
ALBERTVILLE, MN 55301
Wright County (763) 497-2822
MS. HEATHER LYNN POKRZYWINSKI PA-C
Physician Assistant
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Wright County (763) 684-8300
MARY SCHROTER MD
Pediatrics
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Wright County (763) 684-8300

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 Albertville - St. Michael Clinic's NPI number?

The NPI number for Albertville - St. Michael Clinic is 1285804336. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Albertville - St. Michael Clinic located?

Albertville - St. Michael Clinic is located at 11091 Jason Ave NE, Albertville, MN 55301. The listed phone number is (763) 684-8300.

What is Albertville - St. Michael Clinic's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Albertville - St. Michael Clinic was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.