| Organization Name: | NORTH MEMORIAL HEALTH CARE |
| NPI Number: | 1154786283 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD OSTENDORF (VP, CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 5700 Bottineau Blvd Crystal |
| State: | MN US |
| Postal Code: | 554293183 |
| Phone Number: | 7633986040 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2015 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |