Provider Demographics
NPI:1003880733
Name:CHINN, ALISON F (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:F
Last Name:CHINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2537
Mailing Address - Country:US
Mailing Address - Phone:320-762-0399
Mailing Address - Fax:
Practice Address - Street 1:610 30TH AVE W
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-3426
Practice Address - Country:US
Practice Address - Phone:320-763-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN45686208M00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN014947100Medicaid
SDP00275784OtherRR MEDICARE
MN0411515OtherMEDICA
MN263P3CHOtherCC SYSTEMS/ BLUE PLUS
MN92411422901OtherPRIMEWEST
SDHP55699OtherHEALTHPARTNERS
IA0596684Medicaid
SD2385643OtherARAZ/ AMERICA'S PPO
SD4994444OtherBLUE CROSS
SD57105F015OtherWPS TRICARE
MN0411515OtherMEDICA
SD370624200OtherDEPT OF LABOR
SD5721OtherDAKOTACARE
SD6005210Medicaid
SD769201045261OtherPREFERRED ONE
SDP00275784OtherRR MEDICARE
SD247966OtherMIDLANDS CHOICE
MN92411422901OtherPRIMEWEST
SD45360OtherSANFORD HEALTH PLAN
NE46022474335Medicaid
IA0596684Medicaid