ALLINA HEALTH MAPLE GROVE CLINIC
NPI 1730485186
Clinic/Center in Maple Grove, MN

NPI Status: Active since February 02, 2011

Contact Information

7840 VINEWOOD LN N
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 236-0200
Fax: (763) 420-5531

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ALLINA HEALTH MAPLE GROVE CLINIC

Allina Health Maple Grove Clinic is a provider established in Maple Grove, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1730485186 assigned on February 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated March 2024. The provider's is doing business as Allina Health Maple Grove Clinic. The authorized official of this NPI record is Dominica Tallarico (Coo)

NPI
1730485186
Provider Legal Name
ALLINA HEALTH SYSTEM
Other Organization Name
ALLINA HEALTH MAPLE GROVE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7840 VINEWOOD LN N MAPLE GROVE, MN 55369
Location Phone
(763) 236-0200
Location Fax
(763) 420-5531
Mailing Address
PO BOX 43 MAIL ROUTE 10860 MINNEAPOLIS, MN 55440
Mailing Phone
(612) 262-1166
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
02-02-2011
Last Update Date
03-22-2024
Code Navigator



Allina Health Maple Grove Clinic is a medicare supplier with PTAN 20678651 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: Orthoses: Custom Fabricated or Prosthetic Lenses: Conventional Contact Lenses or Canes and/or Crutches or Wheelchairs (Standard Manual) or Orthoses: Off-The-Shelf or Prosthetic Lenses: Conventional Eyeglasses or Walkers or Orthoses: Prefabricated (Non-Custom Fabricated) or Prosthetic Lenses: Prosthetics Cataract Lenses.

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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

  • HealthPartners

    • Atlas $1,000 w/Copay P-S Gold - PPO
    • Atlas $1,500 w/Copay P-S Gold - PPO
    • Atlas $3,000 w/Copay P-S Silver - PPO
    • Atlas $3,200 Plus Silver - PPO
    • Atlas $3,800 HSA Silver - PPO
    • Atlas $5,900 w/Copay P-S Silver - PPO
    • Atlas $6,350 Plus Bronze - PPO
    • Atlas $7,500 w/Copay P-S Bronze - PPO
    • Atlas $8,000 HSA Bronze - PPO
    • Atlas $9,450 Catastrophic - PPO
  • Medica

    • Medica Individual Choice Bronze Copay $0 PCP - HMO
    • Medica Individual Choice Bronze Share Plus - HMO
    • Medica Individual Choice Bronze Standard - HMO
    • Medica Individual Choice Catastrophic - HMO
    • Medica Individual Choice Expanded Bronze Standard - HMO
    • Medica Individual Choice Gold Copay $0 PCP - HMO
    • Medica Individual Choice Gold Standard - HMO
    • Medica Individual Choice Silver Copay $0 PCP - 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
20678651
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
MULTI-SPECIALTY - PHYSICIAN.
Competitive Bidding
NO

Supplies List

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

Reviews for ALLINA HEALTH MAPLE GROVE CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730485186
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27608810116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 8 + 8 + 1 + 0 + 1 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1730485186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639132889 BUSHRA SIKANDER DAR MD
Individual
Family Medicine7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1326091331 SHABANA FEROZ M.D.
Individual
Family Medicine7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1780667717 ANTHONIA ADETOLA OLAJIDE-KUKU MD
Individual
Pediatrics7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1831451038DR. ROBERT S MARSHALL M.D.
Individual
Pediatrics7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1336792647 AMANDA KAYE NOSBUSH
Individual
Physical Therapist7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1467413096 BROCK JEROD MCINTYRE DO
Individual
Family Medicine7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1699736710 ALBERTO G ZENTI DO
Individual
Family Medicine7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1306916622 REBECCA M. BADER OD
Individual
Optometrist7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(612) 262-5000
1740570282DR. TRAVIS PETER DUNN M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1477021533 KAYLA WESTLING PA-C
Individual
Physician Assistant7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1548665896 KELLY JEAN NADEAU KRUGER APRN
Individual
Nurse Practitioner7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1801460241 KRYSTINA R CHRISTIANSON LICSW
Individual
Social Worker (Clinical)7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 670-2500
1912664376 CLAIRE WOLTERS
Individual
Nurse Practitioner (Psychiatric/Mental Health)7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1457622326 JESSIE ANN EGLEY SAER LICSW
Individual
Social Worker (Clinical)7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1326772237 AMANDA CHRISTINE WACHMAN
Individual
Nurse Practitioner (Family)7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1790086411 LAURA K STANZ PA-C
Individual
Physician Assistant7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1801649033 RACHEL LILLIAN BARGER
Individual
Registered Nurse7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200
1902398779DR. JILL KATHERINE WIESER MD
Individual
Dermatology7840 VINEWOOD LN N
MAPLE GROVE, MN 55369
(763) 236-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730485186, enumerated in the NPI registry as an "organization" on February 02, 2011

The provider is located at 7840 Vinewood Ln N Maple Grove, Mn 55369 and the phone number is (763) 236-0200

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 02, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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