Allina Health Bandana Square Clinic - Medicare Primary Care in St Paul, MN

Allina Health Bandana Square Clinic is a medicare enrolled primary clinic (Family Medicine) in St Paul, Minnesota. The current practice location for Allina Health Bandana Square Clinic is 1021 Bandana Blvd E, Ste 100, St Paul, Minnesota. For appointments, you can reach them via phone at (651) 241-9700. The mailing address for Allina Health Bandana Square Clinic is Po Box 43, Mail Route 10860, Minneapolis, Minnesota and phone number is (612) 262-1166.

Allina Health Bandana Square Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023314804. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (651) 241-9700.

Contact Information

Allina Health Bandana Square Clinic
1021 Bandana Blvd E
Ste 100
St Paul
MN 55108-5109
(651) 241-9700
Not Available

Primary Care Clinic Profile

Full NameAllina Health Bandana Square Clinic
SpecialityFamily Medicine
Location1021 Bandana Blvd E, St Paul, Minnesota
Authorized Official Name and PositionDominica Tallarico (COO)
Authorized Official Contact6122222222
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Allina Health Bandana Square Clinic
Po Box 43
Mail Route 10860
Minneapolis
MN 55440-0043

Ph: (612) 262-1166
Allina Health Bandana Square Clinic
1021 Bandana Blvd E
Ste 100
St Paul
MN 55108-5109

Ph: (651) 241-9700

NPI Details:

NPI Number1023314804
Provider Enumeration Date01/27/2011
Last Update Date03/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4587573613
Medicare Enrollment IDO20111216000537

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Medical Identifiers

Medical identifiers for Allina Health Bandana Square Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023314804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QS1201XFamily Medicine - Sleep Medicine (* (Not Available))Secondary
261QS1200XClinic/center - Sleep Disorder Diagnostic (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary

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