ALLINA HEALTH SYSTEM
NPI 1649886565
Clinic/Center - Urgent Care in Coon Rapids, MN

NPI Status: Active since September 16, 2020

Contact Information

9055 SPRINGBROOK DR NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 780-9155

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 24D0402953
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-22-2025

About ALLINA HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Allina Health System, a provider established in Coon Rapids, Minnesota operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1649886565 assigned on September 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Dominica Tallarico (Coo)

NPI
1649886565
Provider Legal Name
ALLINA HEALTH SYSTEM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
9055 SPRINGBROOK DR NW COON RAPIDS, MN 55433
Location Phone
(763) 780-9155
Mailing Address
PO BOX 43 MAIL ROUTE 10585 MINNEAPOLIS, MN 55440
Mailing Phone
(612) 262-1166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2020
Last Update Date
02-25-2025
Code Navigator



Allina Health System is a medicare supplier with PTAN 20678621 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOMINICA TALLARICO

Authorized Official Title
COO
Authorized Official Phone
(612) 222-2222

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20678621
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
PHYSICIAN – FAMILY PRACTICE.
Competitive Bidding
NO

Supplies List

  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0402953
Facility Type
Physician Office
Certificate Effective Date
December 23, 2023
Certificate Expiration Date
December 22, 2025
Laboratory Director
DR. HARRISON P. DILWORTH IV
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Allina Health System on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ALLINA HEALTH SYSTEM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649886565, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 6 + 8 + 1 + 2 + 5 + 1 + 2 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1649886565.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Preventive Medicine (Occupational Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Medicine & Rehabilitation
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Medicine & Rehabilitation
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Orthopaedic Surgery (Foot and Ankle Surgery)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Pediatrics
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Pediatrics
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Medicine & Rehabilitation
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Medicine & Rehabilitation
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Medicine & Rehabilitation
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Optometrist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Pediatrics
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649886565, enumerated as an "organization" on September 16, 2020.

The provider is located at 9055 SPRINGBROOK DR NW COON RAPIDS, MN 55433 and the phone number is (763) 780-9155.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.