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Organization

NORTH MEMORIAL HEALTH CARE

Active
Parent organization
NORTH MEMORIAL HEALTH CARE
Other names
North Memorial Health Cancer
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH MEMORIAL HEALTH CARE
Authorized official
STEPHANIE R GALE (INTERIM CFO)
(763) 581-4635
Entity
Organization

Contact information

Practice address
9825 HOSPITAL DR STE 11, MAPLE GROVE, MN 55369-4479
(763) 581-2800
Mailing address
PO BOX 735463, CHICAGO, IL 60673-5463
(763) 581-2820

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102369
UCARE
01
30346
HEALTH PARTNERS
01
4T901M1
BCBS
05
671323800
MN
01
96300
PREFERREDONE
Enumeration date
07/27/2006
Last updated
12/09/2024
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