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BLAINE CLINIC - DME
NPI 1497847644
Durable Medical Equipment & Medical Supplies in Blaine, MN

Active since September 28, 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 09, 2026.

About Blaine Clinic - Dme NPPES

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

BLAINE CLINIC - DME (NPI 1497847644) is a healthcare organization registered as a durable medical equipment & medical supplies 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

NPI1497847644
Entity TypeOrganization
Primary Taxonomy332B00000X
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
Phone(763) 572-5710
Fax(763) 528-2945
Organization SubpartYes
Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839
Enumeration DateSeptember 28, 2006
Last NPPES UpdateNovember 13, 2007
✔ NPI 1497847644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
10961 CLUB WEST PKWY, Blaine, MN 55449
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Other Names 1

Other NameBlaine Clinic - Dme

Other Identifiers 1

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.

JOSEPH MILES PALMQUIST JOE PALMQUIST
Physician Assistant (Medical)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Anoka County (763) 572-5700
SAMIRA SUGULE MD
Internal Medicine
10961 CLUB WEST PKWY
BLAINE, MN 55449
Anoka County (763) 528-2987
DR. CHARLES JOSEPH KOPP OD
Optometrist
10961 CLUB WEST PKWY, SUITE 130
BLAINE, MN 55449
Anoka County (763) 571-7550
COLUMBIA PARK MEDICAL GROUP, PA
Clinic/Center (Multi-Specialty)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Anoka County (763) 572-5710
FAIRVIEW EXPRESS CARE
Clinic/Center (Multi-Specialty)
10961 CLUB WEST PKWY, STE 200
BLAINE, MN 55449
Anoka County (763) 528-2992
BRIAN J HELMRICK ATC
Specialist/Technologist (Athletic Trainer)
10961 CLUB WEST PKWY
BLAINE, MN 55449
Anoka County (763) 528-6408
MARY BHAVSAR M.D.
Ophthalmology
10961 CLUB WEST PKWY, SUITE 130
BLAINE, MN 55449
Anoka County (763) 571-7550
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy
10961 CLUB WEST PKWY
BLAINE, MN 55449
Anoka County (763) 528-2975

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 1497847644. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is also known as Blaine Clinic - Dme.

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 Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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.