Cpmg-Columbia Park Clinic

LBN: Columbia Park Medical Group, Pa
Cpmg-Columbia Park Clinic is an health care organization with primary practice located at 4000 Central Ave Ne , Columbia Heights MN 55421-2968. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Columbia Park Medical Group, Pa can be contacted via phone (763) 572-5710, or through Condon, Joen V via phone (763) 586-5839.

Contact Information

Primary practice address
4000 Central Ave Ne Columbia Heights MN 55421-2968
Fax: (763) 782-8100
Website:
Authorized official contact:
Name: Condon, Joen V

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Minnesota

Profile Details

NPI number 1609971159
LBN Legal business name Columbia Park Medical Group, Pa
DBA Doing business as Cpmg-Columbia Park Clinic
Authorized official Condon, Joen V
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2006
Last updated Nov 13th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1609971159 NPPES
Minnesota Other CT1003 MEDICARE RAILROAD
Minnesota Other 1247 MEDICARE RAILROAD
Minnesota Other 104020 MEDICARE RAILROAD
Minnesota Other 02071BR MEDICARE RAILROAD
Minnesota Other 98-01408 MEDICARE RAILROAD

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