Park Nicollet

LBN: Park Nicollet
Park Nicollet is an health care organization with primary practice located at 9555 Upland Ln N , Maple Grove MN 66369. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Park Nicollet can be contacted via phone (952) 993-1589, or through Tsukerman, Sofiya via phone (763) 494-4686.

Contact Information

Primary practice address
9555 Upland Ln N Maple Grove MN 66369
Phone: (952) 993-1589
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tsukerman, Sofiya
Phone: (763) 494-4686

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X L 48617-4 Minnesota
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X L 48617-4 Minnesota

Profile Details

NPI number 1982150728
LBN Legal business name Park Nicollet
DBA Doing business as
Authorized official Tsukerman, Sofiya
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2016
Last updated Aug 31st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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