Family Medicine
ALLINA HEALTH SYSTEM
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1447556261 · enumerated 2011-01-27 · record updated 2024-03-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DOMINICA TALLARICO, COO · (612) 222-2222
Other names: ALLINA HEALTH FOREST LAKE CLINIC
Addresses and phones
- Practice location 1540 LAKE ST S, FOREST LAKE, MN, 55025-2628 (651) 464-7100 Fax (651) 241-1515 Google Maps Apple Maps OpenStreetMap
- Mailing address 2925 CHICAGO AVE, ROUTE 10202, MINNEAPOLIS, MN, 55407-1321 (612) 262-1166 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
- Clinic/Center 261Q00000X
Published links
In this directory
Locations and evidence
-
Practice location
FOREST LAKE, MN, 550252628
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.