Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Columbia Park Medical Group, PA

Multi-Specialty Clinic/Center in Blaine, MN · enumerated 2006 · authorized official Joen Condon, Chief Financial Officer.

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

National Provider Identifier

1386749851

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Registry record

Entity type Organization (Type 2)

Legal business name Columbia Park Medical Group, PA

Other name <Unavail>

Parent organization Columbia Park Medical Group, PA

Practice address 10961 Club West Pkwy, Blaine, MN, 55449

Phone (763) 572-5710

Fax (763) 528-2945

Enumeration date Sep 13, 2006

Last updated in NPPES Nov 13, 2007

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Joen Condon

Title Chief Financial Officer

Phone (763) 586-5839

Other identifiers

Identifier	Type	State	Issuer
02071BR	Other	MN	BCBS OF MN
UC0035	Other	MN	UCARE URGENT CARE
181992	Other	MN	UCARE CLINIC NUMBER
CT1003	Other	MN	MEDICARE RAILROAD
AQ909	Other	MN	PREFERRED ONE

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-13. Verify at npiregistry.cms.hhs.gov.

Where is Columbia Park Medical Group, PA located?

The practice location on file with NPPES is in Blaine, MN.

Providers at this address

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Mary Bhavsar Ophthalmology Physician · Blaine, MN NPI 1447205810 Jennifer Olson Pediatrics Physician · Blaine, MN NPI 1659380954 Bruce Dahlman Physical Therapist · Blaine, MN NPI 1679673073 Anthony Vertalino Physical Therapist · Blaine, MN NPI 1669572061 Columbia Park Medical Group, PA Durable Medical Equipment & Medical Supplies · Blaine, MN NPI 1497847644 Group Health Plan Inc General Practice Dentistry · Blaine, MN NPI 1699829697 Fairview Clinics Multi-Specialty Clinic/Center · Blaine, MN NPI 1972784205 Caroline Barusya Family Medicine Physician · Blaine, MN NPI 1770717639

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-13.