# ALLINA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allina Health Cancer Institute - Coon Rapids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871478552
- **Authorized official:** DOMINICA TALLARICO (COO)
- **Authorized official phone:** (612) 222-2222

## Contact information

- **Practice address:** 11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433-2772
- **Practice address phone:** (763) 236-0808
- **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 |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 05/21/2026