Allina Health Forest Lake Clinic

LBN: Allina Health System
Allina Health Forest Lake Clinic is an health care organization with primary practice located at 1540 Lake St S , Forest Lake MN 55025-2628. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Allina Health System can be contacted via phone (651) 464-7100, or through Tallarico, Dominica via phone (612) 222-2222.

Contact Information

Primary practice address
1540 Lake St S Forest Lake MN 55025-2628
Phone: (651) 464-7100
Fax: (651) 241-1515
Website:
Map and Directions
Authorized official contact:
Name: Tallarico, Dominica
Phone: (612) 222-2222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1447556261
LBN Legal business name Allina Health System
DBA Doing business as Allina Health Forest Lake Clinic
Authorized official Tallarico, Dominica
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2011
Last updated Mar 21st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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