PREMISE HEALTH OF MINNESOTA MEDICAL PC
NPI 1871079897
Clinic/Center - Multi-Specialty in Fridley, MN

Active since July 12, 2018CLIA 24D1077028 · Waiver
1400 73RD AVE NE, FRIDLEY, MN 55432(763) 574-5740(763) 528-7234 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, Apr 8, 2021, Jul 12, 2018 (3 updates tracked since 2018).

About Premise Health Of Minnesota Medical Pc NPPES

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

PREMISE HEALTH OF MINNESOTA MEDICAL PC (NPI 1871079897), doing business as Cummins Health Center Fridley, is a healthcare organization registered as a multi-specialty in Fridley, Minnesota and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1871079897
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MINNESOTA MEDICAL PC
Location Address1400 73RD AVE NEFridley, MN 55432-3702
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(763) 528-7234
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 12, 2018
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1871079897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1400 73RD AVE NE, Fridley, MN 55432

Other Names 1

Doing Business AsCummins Health Center Fridley

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 Waiver 24D1077028

Premise Health Of Minnesota Medical, PC Dba Cummins Health Center - Fridley · Fridley, MN
Active · expires Nov 28, 2027
CLIA Number24D1077028
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorMarianne Lindroth
Laboratory Phone(763) 574-5740
Laboratory LocationPremise Health Of Minnesota Medical, PC Dba Cummins Health Center - FridleyPower Generation Plant, 1400 73rd Ave NE, Fridley, MN 55432
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1400 73RD AVE NE, HEALTH CENTER
FRIDLEY, MN 55432

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 Premise Health Of Minnesota Medical PC's NPI number?

The NPI number for Premise Health Of Minnesota Medical PC is 1871079897. It was assigned to this organization in the NPPES registry on July 12, 2018. The provider is doing business as Cummins Health Center Fridley.

Where is Premise Health Of Minnesota Medical PC located?

Premise Health Of Minnesota Medical PC is located at 1400 73rd Ave NE, Fridley, MN 55432. The listed phone number is (763) 574-5740.

What is Premise Health Of Minnesota Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Minnesota Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1077028) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Minnesota Medical PC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.