- Enrollment id
- O20030502000025
- Enrollment state
- MN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1811930936
- Multiple npi flag
- N
- Ccn
- 241513
- Associate id
- 4587573613
- Organization name
- ALLINA HEALTH SYSTEM
- Doing business as name
- ALLINA HEALTH HOSPICE & PALLIATIVE CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2925 CHICAGO AVE
- City
- MINNEAPOLIS
- State
- MN
- Zip code
- 554071321