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Contact Information

PARK NICOLLET METHODIST HOSPITAL
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-5670
 Fax: 952-993-5354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PARK NICOLLET METHODIST HOSPITAL

NPI Number 1689112898
LBN Legal business name PARK NICOLLET METHODIST HOSPITAL
Authorized official DAVID BUSCH - (VP PHARMACY OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2017
Last updated 02/09/2017 - About 9 years ago
Identifiers
MN License # 200304
WI Medicaid 100061250
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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