ALLINA HEALTH SYSTEM – NPI #1366639460
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

ALLINA HEALTH SYSTEM is a provider located in COON RAPIDS, MN. NPPES has assigned the NPI number 1366639460 to ALLINA HEALTH SYSTEM on October 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Jan 22, 2025. 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 ALLINA HEALTH SYSTEM below.

NPI Profile for
ALLINA HEALTH SYSTEM

NPI Number
1366639460
Enumeration Date

(more than 18 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
ALLINA HEALTH SYSTEM
Other name(s)
All associated names:

Doing Business As (dba)
Metropolitan Heart & Vascular Institute
Primary location
4040 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN 55433-4568
Phone: (763) 427-9980 Fax:
2 Other location(s):
303 Catlin St
Buffalo, MN 55313-1947
Phone: (763) 427-9980
550 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 427-9980
Mailing address
PO BOX 43
MAIL ROUTE 10585
MINNEAPOLIS, MN 55440-0043
Phone: (612) 262-1166 Fax:
Organization Subpart
No
Authorized Official
DOMINICA TALLARICO
COO
Phone: (612) 222-2222
Updated
Certification Date
Jan 22, 2025

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.

Identifiers

Identifiers for ALLINA HEALTH SYSTEM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS OF MNMN9R932ME
OTHERHEALTHPARTNERSMN218746
OTHERPREFERREDONEMNAM902
OTHERUCARE OF MNMNL157
MEDICAIDMN024617100
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
261Q00000X
- Clinic/Center

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.6635.1.1
Content Type
Affiliation
Y
Endpoint Location
925 N POINT PKWY,
ALPHARETTA, GA 77025-1669