Columbia Park Medical Group, Pa in Fridley - Multi-specialty
Columbia Park Medical Group, Pa - NPI 1215032743
Columbia Park Medical Group, Pa is a Multi-specialty in Fridley, Minnesota. Columbia Park Medical Group, Pa practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Columbia Park Medical Group, Pa is 1215032743. The last update date is 2007-11-13.
Columbia Park Medical Group, Pa's current location address is 6401 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725710 and fax number 7635713008. The mailing address for Columbia Park Medical Group, Pa is 6401 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Park Medical Group, Pa |
|---|---|
| Address | 6401 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Condon V Joen |
| Telephone Number | 7635865839 |
NPI Number Detail
| NPI Number | 1215032743 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 6401 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554324341 |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CT1003 | MN | MEDICARE RAILROAD | |
| UC0022 | MN | UCARE URGENT CARE | |
| 98-01410 | MN | MEDICA CLINIC NUMBER | |
| 8477 | MN | HEALTHPARTNERS | |
| 104022 | MN | UCARE MN | |
| 02071BR | MN | BCBS OF MN | |
| 98-66164 | MN | MEDICA URGENT CARE |
Post Comment/ Review Below
What is the Columbia Park Medical Group, Pa's 1215032743?
The Columbia Park Medical Group, Pa's NPI (National Provider Identifier) Number is 1215032743. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Columbia Park Medical Group, Pa's facilities are situated?
The facilities of Columbia Park Medical Group, Pa are physically located at the following address: 6401 University Ave Ne, Fridley, MN, 554324341.
What is Columbia Park Medical Group, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Columbia Park Medical Group, Pa's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
When was the Columbia Park Medical Group, Pa's 1215032743 issued?
The Columbia Park Medical Group, Pa's 1215032743 was issued on 2006-09-13.
When was the information pertaining to Columbia Park Medical Group, Pa most recently updated or revised?
The details related to Columbia Park Medical Group, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-13.