Provider Demographics
NPI:1003827197
Name:ALLERGY AND ASTHMA CARE, PA
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:763-420-1010
Mailing Address - Street 1:12000 ELM CREEK BLVD, SUITE 360
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-7076
Mailing Address - Country:US
Mailing Address - Phone:763-420-1010
Mailing Address - Fax:763-420-3710
Practice Address - Street 1:12000 ELM CREEK BLVD, SUITE 360
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7076
Practice Address - Country:US
Practice Address - Phone:763-420-1010
Practice Address - Fax:763-420-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN76223OtherHEALTHPARTNERS
MN167496OtherUCARE
DA4204OtherRAILROAD MEDICARE
MN8912OtherCHOICE PLUS
MN155842100Medicaid
MN99D91ALOtherBLUE CROSS AND BLUE SHIEL
C03012Medicare ID - Type Unspecified