# ALLINA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Courage Kenny Rehab Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275577215
- **Authorized official:** DOMINICA TALLARICO (COO)
- **Authorized official phone:** (612) 222-2222

## Contact information

- **Practice address:** 800 E 28TH ST STE 1750, MINNEAPOLIS, MN 55407-3723
- **Practice address phone:** (612) 863-4495
- **Mailing address:** PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
- **Mailing address phone:** (612) 262-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 01/16/2025