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Contact Information

PARK NICOLLET METHODIST HOSPITAL
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-6016
 Fax: 952-993-6303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PARK NICOLLET METHODIST HOSPITAL

NPI Number 1093738957
LBN Legal business name PARK NICOLLET METHODIST HOSPITAL
Authorized official JASON LUHRS - (VP FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/25/2006
Last updated 08/09/2022 - About 4 years ago
Identifiers
MN License # 200304
MN Medicaid 897017300
Other 2045768 PK
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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