CPMG-COLUMBIA PARK CLINIC
NPI 1609971159
Clinic/Center - Multi-Specialty in Columbia Heights, MN

Active since September 13, 2006
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421(763) 572-5710(763) 782-8100 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cpmg-columbia Park Clinic NPPES

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

CPMG-COLUMBIA PARK CLINIC (NPI 1609971159) is a healthcare organization registered as a multi-specialty in Columbia Heights, 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

NPI1609971159
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA
Location Address4000 CENTRAL AVE NEColumbia Heights, MN 55421-2968
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Fax(763) 782-8100
Organization SubpartYes
Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 13, 2007
NPI 1609971159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4000 CENTRAL AVE NE, Columbia Heights, MN 55421

Other Names 1

Other NameCpmg-columbia Park Clinic

Other Identifiers 7

Other104020MN · Ucare Clinic Number
Medicare PINC00028MN
OtherCT1003MN · Medicare Railroad
Other02071BRMN · Bcbs Of Mn
Other98-01408MN · Medica Clinic Number
Other1247MN · Healthpartners
Medicare NSC0463570002MN

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.

Internal Medicine
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Dentist (General Practice)
4000 CENTRAL AVE NE, #308
COLUMBIA HEIGHTS, MN 55421
Dietitian, Registered
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Family Medicine
4000 CENTRAL AVE NE
MINNEAPOLIS, MN 55421
Family Medicine
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Pharmacy (Clinic Pharmacy)
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Clinic/Center (Multi-Specialty)
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Obstetrics & Gynecology
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421

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 1609971159. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is also known as Cpmg-Columbia Park Clinic.

Where is Columbia Park Medical Group, PA located?

Columbia Park Medical Group, PA is located at 4000 Central Ave NE, Columbia Heights, MN 55421. 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 with the weekly NPPES data releases published by CMS.