PARK NICOLLET NPI 1174975528

NPI Information

  • NPI: 1174975528
  • Provider Name: PARK NICOLLET
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 9555 UPLAND LN N
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (952) 993-1440

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NPI Details

PARK NICOLLET is a clinic center in Maple Grove, MN. The provider is 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). PARK NICOLLET NPI is 1174975528. The provider is registered as an organization entity type.

The provider's business location address is:

9555 UPLAND LN N
MAPLE GROVE, MN
ZIP 55369-485
Phone: (952) 993-1440

The provider's authorized official is Bernt Helgaas .
The authorized official title is Medical Director Park Nicollet Mgrc and has the following contact phone number (952) 993-1440.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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