ALLINA HEALTH FOREST LAKE CLINIC
NPI 1447556261
Family Medicine in Forest Lake, MN

Q: What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1447556261. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Forest Lake Clinic.

Q: What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 27, 2011CLIA 24D0398200 · Waiver

1540 LAKE ST S, FOREST LAKE, MN 55025(651) 464-7100(651) 241-1515 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2023, Sep 1, 2020, Jan 10, 2020 and 2 more (5 updates tracked since 2016).

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About Allina Health Forest Lake Clinic NPPES

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

ALLINA HEALTH FOREST LAKE CLINIC (NPI 1447556261) is a healthcare organization registered as a family medicine in Forest Lake, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1447556261

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameALLINA HEALTH SYSTEM

Location Address1540 LAKE ST SForest Lake, MN 55025-2628

Mailing Address2925 Chicago Ave, Route 10202Minneapolis, MN 55407-1321 · (612) 262-1166

Phone(651) 464-7100

Fax(651) 241-1515

Organization SubpartNo

Authorized OfficialDominica TallaricoCoo · (612) 222-2222

Enumeration DateJanuary 27, 2011

Last NPPES UpdateMarch 21, 20245 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1447556261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/CenterTaxonomy 261Q00000X

1540 LAKE ST S, Forest Lake, MN 55025

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Other Names 1

Doing Business AsAllina Health Forest Lake Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0398200

Allina Health Forest Lake Clinic · Forest Lake, MN

Active · expires Sep 21, 2026

CLIA Number24D0398200

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 22, 2024

Certificate Expiration DateSeptember 21, 2026

Laboratory DirectorDr. Yiang Hui

Laboratory Phone(651) 241-1513

Laboratory LocationAllina Health Forest Lake Clinic1540 South Lake Street, Forest Lake, MN 55025

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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.

DR. OLUWAKEMI TINUKE OLOWOYO M.D

Family Medicine