HEALTHSTAT HEALTH CENTER ALLIANZ
NPI 1821605874
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Golden Valley, MN

Active since September 24, 2020CLIA 24D2195673 · Waiver
5901 GOLDEN HILLS DR, GOLDEN VALLEY, MN 55416(704) 936-5546 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Healthstat Health Center Allianz NPPES

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

HEALTHSTAT HEALTH CENTER ALLIANZ (NPI 1821605874) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Golden Valley, Minnesota and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1821605874
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT HEALTH CENTER ALLIANZ
Location Address5901 GOLDEN HILLS DRGolden Valley, MN 55416-1225
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
NPI 1821605874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

5901 GOLDEN HILLS DR, Golden Valley, MN 55416

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
24D2195673
Facility Type
Other - CHRONIC MGT
Certificate Effective Date
October 12, 2024
Certificate Expiration Date
October 11, 2026
Laboratory Director
BRITTANY POFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Healthstat Health Center Allianz to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
5901 GOLDEN HILLS DR
GOLDEN VALLEY, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821605874, enumerated as an "organization" on September 24, 2020.

The provider is located at 5901 GOLDEN HILLS DR GOLDEN VALLEY, MN 55416 and the phone number is (704) 936-5546.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.