Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Bandana Square Sleep Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
1010 BANDANA BLVD W, STE 236, ST PAUL, MN 55108-5107
(651) 641-7100
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/02/2024
Last updated
01/16/2025
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