Cpmg-Andover Park Clinic
LBN: Columbia Park Medical Group, Pa
Cpmg-Andover Park Clinic is an health care organization with primary practice located at 13819 Hanson Blvd Nw , Andover MN 55304-7608. 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
13819 Hanson Blvd Nw
Andover MN 55304-7608
Phone: (763) 572-5710
Fax: (763) 862-4415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | Minnesota |
Profile Details
| NPI number | 1639274160 |
|---|---|
| LBN Legal business name | Columbia Park Medical Group, Pa |
| DBA Doing business as | Cpmg-Andover 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639274160 | NPPES |
| Minnesota | Other | 02071BR | BCBS |
| Minnesota | Other | CT1003 | BCBS |
| Minnesota | Other | UC0003 | BCBS |
| Minnesota | Other | 54814 | BCBS |
| Minnesota | Other | 122190 | BCBS |
| Minnesota | Other | 98-66092 | BCBS |
| Minnesota | Other | 98-00470 | BCBS |
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