Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Bandana Square Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
1021 BANDANA BLVD E, STE 100, ST PAUL, MN 55108-5109
(651) 241-9700
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/27/2011
Last updated
01/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us