PARK NICOLLET CLINIC – NPI #1912315144
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PARK NICOLLET CLINIC is a provider located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1912315144 to PARK NICOLLET CLINIC on July 31, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PARK NICOLLET CLINIC is also known by the name HEALTH & WELL-BEING CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Oct 25, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK NICOLLET CLINIC below.

NPI Profile for
PARK NICOLLET CLINIC

NPI Number
1912315144
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK NICOLLET CLINIC
Other Name: HEALTH & WELL-BEING CENTER
Primary location
1000 NICOLLET MALL
TPS 260
MINNEAPOLIS, MN 55403-2542
Phone: (952) 977-0700 Fax:
Mailing address
3800 PARK NICOLLET BLVD
ATTENTION: BUSINESS SERVICES
ST LOUIS PARK, MN 55416-2527
Phone: (952) 993-1000 Fax:
Organization Subpart
No
Authorized Official
JASON LUHRS
VP FINANCE
Phone: (952) 883-7158
Updated
Certification Date
Oct 25, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
207VX0000X
- Obstetrics & Gynecology / Obstetrics
111N00000X
- Chiropractor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.