Columbia Park Medical Group, Pa

LBN: Columbia Park Medical Group, Pa
Columbia Park Medical Group, Pa is an health care organization with primary practice located at 6401 University Ave Ne Suite 200, Fridley MN 55432-4341. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is 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
6401 University Ave Ne Suite 200 Fridley MN 55432-4341
Phone: (763) 572-5710
Fax: (763) 571-3008
Website:
Map and Directions
Authorized official contact:
Name: Condon, Joen V
Phone: (763) 586-5839

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 147 Minnesota
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 147 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 147 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 147 Minnesota
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 147 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 147 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 147 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 147 Minnesota

Profile Details

NPI number 1932150117
LBN Legal business name Columbia Park Medical Group, Pa
DBA Doing business as
Authorized official Condon, Joen V
Entity Organization
Organization subpart 1 No
Enumeration date May 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 1932150117 NPPES
Minnesota Other 147 STATE PROF. REGISTRATION
Minnesota Other 1014268 STATE PROF. REGISTRATION
Minnesota Other AQ9091045486 STATE PROF. REGISTRATION
Minnesota Other 02071BR STATE PROF. REGISTRATION

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