# PARK NICOLLET METHODIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Nicollet Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174980692
- **Authorized official:** ALITA RISINGER (SR VICE PRESIDENT, CFO)
- **Authorized official phone:** (952) 883-5401

## Contact information

- **Practice address:** 15800 95TH AVE N, MAPLE GROVE, MN 55369-4400
- **Practice address phone:** (952) 993-1440
- **Mailing address:** PO BOX 1488, MINNEAPOLIS, MN 55480-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 08/03/2026