RIVERWAY - ANDOVER CLINIC
NPI 1730240649
Durable Medical Equipment & Medical Supplies in Andover, MN

Active since December 13, 2006CLIA 24D0941889 · Accreditation
15245 BLUEBIRD ST NW, SUITE A, ANDOVER, MN 55304(763) 587-4600(763) 587-4615 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2020, Jul 16, 2018, Mar 16, 2017 (3 updates tracked since 2017).

About Riverway - Andover Clinic NPPES

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

RIVERWAY - ANDOVER CLINIC (NPI 1730240649) is a healthcare organization registered as a durable medical equipment & medical supplies in Andover, Minnesota and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through May 11, 2028 and lists Lisa Bjorkman, Director, as its authorized official.

NPPES Registry Identity

NPI1730240649
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGROUP HEALTH PLAN INC
Location Address15245 BLUEBIRD ST NW, SUITE AAndover, MN 55304
Mailing Address8170 33rd Ave S, Mail Stop 21110qBloomington, MN 55425-4516 · (952) 883-7469 · Fax (952) 883-5395
Fax(763) 587-4615
Organization SubpartNo
Authorized OfficialLisa BjorkmanDirector · (952) 883-7469
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 2, 20203 updates tracked since enumeration
NPPES CertifiedJune 2, 2020
NPI 1730240649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in MN · 8600490
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.

15245 BLUEBIRD ST NW, Andover, MN 55304

Other Names 1

Doing Business AsRiverway - Andover Clinic

Other Identifiers 1

Medicaid650006400MN

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 24D0941889

Riverway Clinic - Andover · Andover, MN
Active · expires May 11, 2028
CLIA Number24D0941889
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorDr. Annie Meares
Laboratory Phone(763) 587-4616
Laboratory LocationRiverway Clinic - Andover15245 Bluebird Street NW, Andover, MN 55304
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.

Pharmacist
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Pharmacist
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Pharmacist
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Family Medicine
15245 BLUEBIRD ST NW, MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER
ANDOVER, MN 55304
Nurse Practitioner
15245 BLUEBIRD ST NW, MAIL STOP 39200A
ANDOVER, MN 55304
Family Medicine
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Family Medicine
15245 BLUEBIRD ST NW, MAIL STOP 39200A
ANDOVER, MN 55304
Physician Assistant
15245 BLUEBIRD ST NW, MAIL STOP 39300A
ANDOVER, MN 55304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730240649, enumerated as an "organization" on December 13, 2006.

The provider is located at 15245 BLUEBIRD ST NW SUITE A ANDOVER, MN 55304 and the phone number is (763) 587-4600.

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

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