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Columbia Park Medical Group, PA

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

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

National Provider Identifier

1639274160

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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 13819 Hanson Blvd Nw, Andover, MN, 55304
Fax (763) 862-4415
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

Other identifiers

Identifier Type State Issuer
02071BR Other MN BCBS
CT1003 Other MN MEDICARE RAILROAD
UC0003 Other MN UCARE URGENT CARE
54814 Other MN HEALTHPARTNERS
122190 Other MN UCARE MN
98-66092 Other MN MEDICA URGENT CARE
98-00470 Other MN MEDICA NUMBER

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Columbia Park Medical Group, PA?
Columbia Park Medical Group, PA is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

Providers at this address

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