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Bloomington Lake Clinic, Ltd

Multi-Specialty Clinic/Center in Bloomington, MN · enumerated 2006 · authorized official Debra Barger, Assistant Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215090501

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Registry record

Entity type Organization (Type 2)
Legal business name Bloomington Lake Clinic, Ltd
Practice address 7901 Xerxes Ave S Ste 116, Bloomington, MN, 55431
Phone (952) 888-2024
Fax (952) 888-3985
Enumeration date Dec 18, 2006
Last updated in NPPES Apr 4, 2011

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License 23 (MN) Primary

Authorized official

Name Debra Barger
Title Assistant Administrator
Phone (612) 277-2165

Other identifiers

Identifier Type State Issuer
1713 Other MN HEALTH PARTNERS
302510100 Medicaid MN -
C406 Other MN UCARE MINNESOTA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Bloomington Lake Clinic, Ltd?
NPPES lists Debra Barger (Assistant Administrator) as the authorized official for this organization.
What is the NPI number for Bloomington Lake Clinic, Ltd?
The NPI for Bloomington Lake Clinic, Ltd is 1215090501, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-04.