CPMG-BLAINE CLINIC
NPI 1386749851
Clinic/Center - Multi-Specialty in Blaine, MN

Active since September 13, 2006
10961 CLUB WEST PKWY, BLAINE, MN 55449(763) 572-5710(763) 528-2945 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cpmg-blaine Clinic NPPES

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

CPMG-BLAINE CLINIC (NPI 1386749851) is a healthcare organization registered as a multi-specialty in Blaine, Minnesota and active in the NPI registry since September 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1386749851
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA
Location Address10961 CLUB WEST PKWYBlaine, MN 55449-4671
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Fax(763) 528-2945
Organization SubpartYes
Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 13, 2007
NPI 1386749851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10961 CLUB WEST PKWY, Blaine, MN 55449

Other Names 1

Other NameCpmg-blaine Clinic

Other Identifiers 7

OtherCT1003MN · Medicare Railroad
OtherAQ909MN · Preferred One
Medicare PINC00028MN
Other02071BRMN · Bcbs Of Mn
Other181992MN · Ucare Clinic Number
OtherUC0035MN · Ucare Urgent Care
Medicare NSC0463570006MN

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.

Physician Assistant (Medical)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Internal Medicine
10961 CLUB WEST PKWY
BLAINE, MN 55449
Optometrist
10961 CLUB WEST PKWY, SUITE 130
BLAINE, MN 55449
Clinic/Center (Multi-Specialty)
10961 CLUB WEST PKWY, STE 200
BLAINE, MN 55449
Specialist/Technologist (Athletic Trainer)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Ophthalmology
10961 CLUB WEST PKWY, SUITE 130
BLAINE, MN 55449
Pharmacy
10961 CLUB WEST PKWY
BLAINE, MN 55449
Durable Medical Equipment & Medical Supplies
10961 CLUB WEST PKWY
BLAINE, MN 55449

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 Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1386749851. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is also known as Cpmg-Blaine Clinic.

Where is Columbia Park Medical Group, PA located?

Columbia Park Medical Group, PA is located at 10961 Club West Pkwy, Blaine, MN 55449. The listed phone number is (763) 572-5710.

What is Columbia Park Medical Group, PA'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 Columbia Park Medical Group, PA was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.