MINNESOTA ONCOLOGY HEMATOLOGY PA; NPI #1629387303

Contact Information

MINNESOTA ONCOLOGY HEMATOLOGY PA

3960 COON RAPIDS BLVD NW
# 311
COON RAPIDS, MN 55433-2569

Phone: 763-236-9090
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for MINNESOTA ONCOLOGY HEMATOLOGY PA

NPI #	`1629387303`
LBN Legal business name	MINNESOTA ONCOLOGY HEMATOLOGY PA
Authorized official	RANDALL THOMPSON - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/29/2010
Last updated	09/29/2010 - About 16 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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