Organization
PARK NICOLLET METHODIST HOSPITAL
Active
Other names
Park Nicollet Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JAMES LUHRS (VP FINANCE)
(952) 883-7158
Entity
Organization
Contact information
Practice address
15800 95TH AVE N, MAPLE GROVE, MN 55369-4400
(952) 993-1440
Mailing address
PO BOX 1488, MINNEAPOLIS, MN 55480-1488
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
10/25/2021
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