1. Home
  2. Directory
  3. Minnesota
  4. Eagan
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PARK NICOLLET HEALTH CARE PRODUCTS
NPI 1659450963
Durable Medical Equipment & Medical Supplies in Eagan, MN

Active since November 06, 2006CLIA 24D0666567 · Accreditation
1885 PLAZA DR, EAGAN, MN 55122(952) 993-4001 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Nicollet Health Care Products NPPES

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

PARK NICOLLET HEALTH CARE PRODUCTS (NPI 1659450963) is a healthcare organization registered as a durable medical equipment & medical supplies in Eagan, Minnesota and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through October 1, 2026 and lists Catherine F Lenagh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1659450963
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePARK NICOLLET HEALTH CARE PRODUCTS
Location Address1885 PLAZA DREagan, MN 55122-2612
Mailing Address3800 Park Nicollet BlvdSt Louis Park, MN 55416-2527
Phone(952) 993-4001
Organization SubpartYesParent: Park Nicollet Health Services
Authorized OfficialCatherine F LenaghCfo · (952) 993-3108
Enumeration DateNovember 6, 2006
Last NPPES UpdateOctober 2, 2014
✔ NPI 1659450963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
1885 PLAZA DR, Eagan, MN 55122
Open in Google Maps ↗

Other Identifiers 2

Other2415253Ncpdp Provider Indentification Number
Medicare NSC4464590010MN

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 Accreditation 24D0666567

Park Nicollet Clinic - Eagan · Eagan, MN
Active · expires Oct 1, 2026
CLIA Number24D0666567
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorDr. Matthew D. Mccoy
Laboratory Phone(952) 993-4060
Laboratory LocationPark Nicollet Clinic - Eagan1885 Plaza Drive, Eagan, MN 55122
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

LYNDA MACAULAY
Nurse Practitioner (Women's Health)
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001
JOHN P EDWARDS
Obstetrics & Gynecology
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001
DR. RUSSELL G SMIDT MD
Pediatrics
1885 PLAZA DR, PARK NICOLLET CLINIC - EAGAN
EAGAN, MN 55122
Dakota County (952) 993-4001
KATHLEEN MUFFLY MD
Pediatrics
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001
MARIA TAFT
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001
DR. JAMES W CLARK MD
Pediatrics
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001
DR. MICHELE CHRISTINE ERICKSON M.D.
Family Medicine
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001
REBECCA BELL BENSON PA-C
Physician Assistant (Medical)
1885 PLAZA DR
EAGAN, MN 55122
Dakota County (952) 993-4001

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 Park Nicollet Health Care Products's NPI number?

The NPI number for Park Nicollet Health Care Products is 1659450963. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Park Nicollet Health Care Products located?

Park Nicollet Health Care Products is located at 1885 Plaza Dr, Eagan, MN 55122. The listed phone number is (952) 993-4001.

What is Park Nicollet Health Care Products's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Park Nicollet Health Care Products hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0666567) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Nicollet Health Care Products was last updated on October 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.