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Type of Facility Diagnostic Imaging Facility Name Address Multiple Unit City County State Zip Phone Fax

Multiple Unit City County State Zip Phone Fax Administrator Administrator Title Web
Clinic Advanced Oral Surgery 19925 Idealic Avenue n/a Lakeville Dakota MN 55044 (952) 683-9884 (952) 683-9887 Jonathan McCabe Administrator www.advancedoralsurgerymn.com
Clinic Advanced Specialty Associates, Ltd. 13359 Isle Drive Suite 1 Baxter Crow Wing MN 56425 (218) 454-8888 (888) 835-7231 Mindy Silvernail Cheif Administrative Officer www.advancedspecialtyassociates.com
Clinic Advancements in Allergy & Asthma Care, Ltd 12450 Wayzata Boulevard Suite 215 Minnetonka n/a MN 55305 (952) 546-6866 (952) 512-0038 Russ Rosckes Administrator www.advancementsinallergy.com
Clinic ADVENT - Blaine dba Minnesota Ear & Sinus Center 4365 Pheasant Ridge Drive NE Suite 106 Blaine Anoka MN 55449 (888) 938-3838 (763) 296-3296 Karrie Mentry Administrator www.mnearsinus.com
Clinic ADVENT - Eagan 845 Vikings Parkway Suite B Eagan n/a MN 55121 (888) 938-3838 n/a Karrie Mentry Administrator https://adventknows.com/locations/eagan
Clinic ADVENT - Maple Grove 9325 Upland Lane North Suite 200 Maple Grove n/a MN 55369 (888) 938-3838 n/a Karrie Mentry Administrator https://adventknows.com/locations/maple-grove
Clinic ADVENT - Woodbury 8401 Seasons Parkway Suite 300 Woodbury Washington MN 55125 (888) 938-3838 n/a Karrie Mentry n/a https://adventknows.com/locations/woodbury
Clinic Affiliated Community Medical Center - Willmar 101 Willmar Avenue Southwest n/a Willmar Kandiyohi MN 56201 (320) 214-6101 (320) 214-6890 Mike Schramm CEO n/a
Imaging Facility Alexandria CDI @ Alomere Health 111 - 17th Avenue East n/a Alexandria Douglas MN 56308 (320) 762-6040 (320) 762-6038 Tiffany Spartz EVP, Operations www.rayusradiology.com
Clinic Allina Health Clinic - Eden Praire 775 Prairie Center Drive Suite 300 Eden Prairie Hennepin MN 55344 (952) 428-0300 n/a Carrie Hubert Administrator www.allina.com
Clinic Allina Health Clinic - Vadnais Heights 1155 East County Road E Suite 100 Vadnais Heights Ramsey MN 55110 (651) 241-9200 n/a Nancy McCallum Clinic Manager www.allina.com
Clinic Allina Medical Clinic - Apple Valley 14655 Galaxie Avenue n/a Apple Valley Dakota MN 55124 (651) 241-3779 n/a Deborah Pelch Clinic Manager www.allina.com
Clinic Allina Medical Clinic - Forest Lake 1540 South Lake Street n/a Forest Lake Washington MN 55025 (651) 464-7100 (651) 982-5515 Kathy Fouche-Dill Administrator www.allina.com
Clinic Allina Medical Clinic - Northfield 1400 Jefferson Road n/a Northfield Rice MN 55057 (507) 663-9000 n/a Barb Barlau Administrator www.allina.com
Clinic Allina Medical Clinic - Woodbury 8675 Valley Creek Road n/a Woodbury Washington MN 55125 (651) 241-3040 n/a Mary Rahman Administrator www.allina.com
Imaging Facility Alllina Health Imaging Center - Edina 3955 Parklawn Avenue Suite 100 Edina Hennepin MN 55435 (952) 428-1073 n/a Marty Fonheiser Clinic Supervisor www.allina.com
Clinic Altru Clinic - Crookston 400 South Minnesota Street Attn: RadiologCrookston Polk MN 56716 (218) 281-9100 (218) 281-9189 Meghan Compton Chief Clinical Operations Officer www.altru.org
Clinic Andros ENT & Sleep Center, PA 5565 Blaine Avenue Suite 225 Inver Grove Heights Dakota MN 55076 (651) 888-7800 (651) 888-7801 Lisa Kramer Practice Administrator www.androsent-sleep.com
Clinic Arrowhead Surgery Center 4316 Rice Lake Road Suite 104 Duluth St. Louis MN 55811 (218) 514-0514 (855) 453-4956 Ben Fagerlie Administrator https://ascduluth.com/
Clinic Aspen Medical Group - Bandana Square 1021 Bandana Boulevard East Suite 100 St. Paul Ramsey MN 55108 (651) 241-9700 (651) 241-9678 Julie Ganje Clinic Manager n/a
Clinic Aspen Medical Group - Maplewood 1850 Beam Avenue n/a Maplewood Ramsey MN 55109 (651) 241-9700 (651) 241-9678 LuAnn Schwickerath Clinic Manager n/a
Clinic Avera Medical Group - Worthington 1216 Ryans Road n/a Worthington Nobles MN 56187 (507) 372-2921 (507) 372-6523 Kelli Van Grouw Clinic Manager www.avera.org
Imaging Facility Block Mobile - MRI 01 1845 Cedar Street n/a Holt n/a MI 48842 (517) 668-8800 n/a n/a n/a www.blockimaging.com
Imaging Facility Block Mobile - MRI 02 1845 Cedar Street n/a Holt n/a MI 48842 (517) 668-8800 n/a n/a n/a www.blockimaging.com
Imaging Facility Catalina Imaging, Inc. CT28 944 Lakeview Drive n/a Dayton n/a NV 89403 (916) 652-9501 (916) 652-9412 Jacquie Dean Operations Manager www.catalinaimaging.com
Imaging Facility Catalina Imaging, Inc. CT35 944 Lakeview Drive n/a Dayton n/a NV 89403 (916) 652-9501 (916) 652-9412 Jacquie Dean Operations Manager www.catalinaimaging.com
Imaging Facility Catalina Imaging, Inc. CT42 944 Lakeview Drive n/a Dayton n/a NV 89403 (916) 652-9501 (916) 652-9412 Jacquie Dean Operations Manager www.catalinaimaging.com
Imaging Facility Catalina Imaging, Inc. CT45 944 Lakeview Drive n/a Dayton n/a NV 89403 (916) 652-9501 (916) 652-9412 Jacquie Dean Operations Manager www.catalinaimaging.com
Imaging Facility CDI Grand Rapids, LLC @ Grand Itasca Hospital 1601 Golf Course Road n/a Grand Rapids n/a MN 55744 (952) 541-1840 (952) 513-6880 Tiffany Spartz EVP, Operations www.rayasradiology.com
Imaging Facility Center for Clinical Imaging Research 2021 Sixth Street SE n/a Minneapolis Hennepin MN 55455 (612) 626-6900 (612) 625-1733 Joanne Johnson Manager ccir@umn.edu
Imaging Facility Center for Diagnostic Imaging - Blaine 2305 108th Lane NE n/a Blaine Anoka MN 55449 (763) 278-4429 (763) 786-4577 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Burnsville 675 Nicollet Boulevard East Suite 150 Burnsville Dakota MN 55337 (952) 898-6627 (952) 898-6624 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Coon Rapids 3833 Coon Rapids Boulevard NW Suite 120 Coon Rapids Anoka MN 55433 (763) 433-2000 (763) 433-2001 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Eden Prairie 775 Prairie Center Drive Suite 260 Eden Prairie Hennepin MN 55344 (952) 345-3805 (952) 294-8217 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Lakeville 10438 185th Street West Suite 100 Lakeville Dakota MN 55044 (952) 345-3878 (952) 469-4546 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Maplewood 1790 Beam Avenue n/a Maplewood Ramsey MN 55109 (651) 748-8226 (651) 748-2864 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Plymouth 15700 37th Avenue North Suite 100 Plymouth Hennepin MN 55446 (952) 541-1840 (952) 543-6524 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Roseville 1835 County Road C West Suite 180 Roseville Ramsey MN 55113 (651) 287-4929 (651) 209-6781 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - St. Cloud 251 County Road 120 n/a St. Cloud Stearns MN 56303 (320) 251-0609 (320) 251-3806 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility Center for Diagnostic Imaging - Woodbury Cornerstone 6025 Lake Road Suite 130 Woodbury Washington MN 55125 (651) 788-4040 (651) 297-6115 Tiffany Spartz EVP, Operations www.rayusradiology.com
Clinic Center for Specialty Care 717 South State Street Suite 900 Fairmont Martin MN 56031 (507) 238-4949 (855) 273-5489 Lynn Thompson Administrator www.centerforspecialtycare.com
Clinic Centracare Clinic - Sartell Clinic 251 County Road 120 n/a St. Cloud Stearns MN 56303 (320) 202-8949 (320) 529-4747 Blair Headley Director Family Medicine Medical roup www.rayusradiology.com
Imaging Facility Central Minnesota Diagnostic, Inc - Mobile Interim CT 525 Tenth Street NE n/a Milaca Mille Lacs MN 56353 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc - Mobile MRI Route A 525 Tenth Street NE n/a Milaca Mille Lacs MN 56353 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc - Mobile MRI Route B 525 Tenth Street NE n/a Milaca Mille Lacs MN 56353 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc - Mobile SPECT Route A 525 Tenth Street NE n/a Milaca Mille Lacs MN 56353 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Appleton Area Health 30 South Behl Street n/a Appleton Swift MN 56208 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Avera Granite Falls 345 Tenth Avenue n/a Granite Falls Yellow Medicine MN 56241 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Bigfork Valley Hospital 258 Pinetree Drive n/a Bigfork Itasca MN 56628 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Carris Health - Redwood 100 Fallwood Road n/a Redwood Falls Redwood MN 56283 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CCM Health 824 11th Street North n/a Montevideo Chippewa MN 56265 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CentraCare Health - Long Prairie 20 Ninth Street Southeast n/a Long Prairie Todd MN 56347 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CentraCare Health - Melrose 11 North Fifth Avenue West n/a Melrose Stearns MN 56352 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CentraCare Health - Monticello 1013 Hart Boulevard n/a Monticello Wright MN 55362 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CentraCare Health - Paynesville 200 West First Street n/a Paynesville Stearns MN 56362 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CentraCare Health - Sauk Centre 425 North Elm Street n/a Sauk Centre Stearns MN 56378 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CHI St. Francis Health 2400 St. Francis Drive n/a Breckenridge Wilkin MN 56520 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ CHI St. Joseph's Health 600 Pleasant Avenue n/a Park Rapids Hubbard MN 56470 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Community Memorial Hospital 512 Skyline Boulevard n/a Cloquet Carlton MN 55720 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Cook Hospital & Care Center 10 Fifth Street SE n/a Cook St. Louis MN 55723 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Cuyuna Regional Medical Center 320 East Main Street n/a Crosby Crow Wing MN 56441 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Ely-Bloomenson Community Hospital 328 West Conan Street n/a Ely St. Louis MN 55731 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Essentia Health - Deer River 1002 Comstock Drive n/a Deer River Itasca MN 56636 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Essentia Health Northern Pines 5211 Highway 110 n/a Aurora St. Louis MN 55705 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html 1 of 6 Health Care Cost Information System (HCCIS)
health.hccis@state.mn.us Minnesota Department of Health
Type of Facility Diagnostic Imaging Facility Name Address Multiple Unit City County State Zip Phone Fax Administrator Administrator Title Web
Imaging Facility Central Minnesota Diagnostic, Inc @ Essentia Health St. Mary's 1027 Washington Avenue n/a Detroit Lakes Becker MN 56501 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Fairview University Medical Center - M750 East 34th Street n/a Hibbing St. Louis MN 55746 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Glacial Ridge Health System 10 Fourth Avenue SE n/a Glenwood Pope MN 56334 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Hutchinson Health 1095 Highway 15 South n/a Hutchinson Mcleod MN 55350 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Kittson Memorial Healthcare Center 1010 South Birch Avenue n/a Hallock Kittson MN 56728 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Lakewood Health System 49725 County Road 83 n/a Staples Todd MN 56479 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ LifeCare Medical Center 715 Delmore Drive n/a Roseau Roseau MN 56751 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ M Health Fairview Lakes Medical Cent 5200 Fairview Boulevard n/a Wyoming Chisago MN 55092 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ M Health Fairview Northland Medical C911 Northland Drive n/a Princeton Sherburne MN 55371 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Madison Hospital 900 Second Avenue n/a Madison Lac Qui Parle MN 56256 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Mahnomen Health Center 414 West Jefferson n/a Mahnomen Mahnomen MN 56557 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Meeker Memorial Hospital 612 South Sibley Avenue n/a Litchfield Meeker MN 55355 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Mercy Hospital 710 South Kenwood Avenue n/a Moose Lake Carlton MN 55767 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Mille Lacs Health System 200 North Elm Street, Box A n/a Onamia Mille Lacs MN 56359 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Olivia Hospital & Clinic 611 East Fairview n/a Olivia Renville MN 56277 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Perham Health 665 Third Street SW n/a Perham Otter Tail MN 56573 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Pipestone County Medical Center 916 Fourth Avenue SW n/a Pipestone Pipestone MN 56164 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Rainy Lake Medical Center 1400 Highway 71 n/a International Falls Koochiching MN 56649 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Ridgeview Sibley Medical Center 601 West Chandler Street n/a Arlington Sibley MN 55307 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ River's Edge Hospital & Clinic 1900 North Sunrise Drive n/a St. Peter Nicollet MN 56082 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Riverwood HealthCare Center 200 Bunker Hill Drive n/a Aitkin Aitkin MN 56431 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Sanford Bagley Medical Center 203 Fourth Street NW n/a Bagley Clearwater MN 56621 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Sanford Wheaton Medical Center 401 12th Street North n/a Wheaton Traverse MN 56296 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Sleepy Eye Medical Center 400 Fourth Avenue Northwest n/a Sleepy Eye Brown MN 56085 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ St. Gabriel's Hospital 815 Second Street Southeast n/a Little Falls Morrison MN 56345 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Swift County-Benson Health Services 1815 Wisconsin Avenue n/a Benson Swift MN 56215 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Tri-County Health Care 415 North Jefferson Street n/a Wadena Wadena MN 56482 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ United Hospital District 515 South Moore Street n/a Blue Earth Faribault MN 56013 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Welia Health 301 South Highway 65 n/a Mora Kanabec MN 55051 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Imaging Facility Central Minnesota Diagnostic, Inc @ Welia Health - Pine City Clinic 1425 Main Street North n/a Pine City Pine MN 55063 (320) 983-6300 (320) 983-6345 Chad Cooper President www.cmdi.org
Clinic Centrasota Oral & Maxillofacial Surgeons - Alexandria 2633 Jefferson Street Suite 602 Alexandria Douglas MN 56308 (320) 763-5117 (320) 763-5118 Molly Kamrowski Surgical Operations Supervisor www.centrasotaoms.com
Clinic Centrasota Oral & Maxillofacial Surgeons - Hutchinson 1015 Highway 15 South Plaza 15 ShopHutchinson Mcleod MN 55350 (320) 252-3611 (320) 252-7574 Molly Kamrowski Surgical Operations Supervisor www.centrasotaoma.com
Clinic Centrasota Oral & Maxillofacial Surgeons - Monticello 3880 Deegan Court Suite 100 Monticello Wright MN 55362 (320) 252-3611 (320) 252-7574 Molly Kamrowski Surgical Operations Supervisor www.centrasotaoms.com
Clinic Centrasota Oral & Maxillofacial Surgeons - Sartell 531 Pine Cone Road North n/a Sartell Stearns MN 56377 (320) 252-3611 (320) 252-7574 Molly Kamrowski Surgical Operations Supervisor www.centrasotaoms.com
Clinic Centrasota Oral & Maxillofacial Surgeons - St. Cloud 3950 Veterans Drive Suite 100 St. Cloud Stearns MN 56303 (320) 252-3611 (320) 252-7574 Molly Kamrowski Surgical Operations Supervisor www.centrasotaoms.com
Surgical Center Children's Healthcare Services Inc. DBA Children's - Minnetonka 6050 Clearwater Drive n/a Minnetonka Hennepin MN 55343 (952) 930-8600 (952) 930-8650 Jennifer Olson Chief Operating Officer www.childrensmn.org
Imaging Facility Community MRI Services, LLC 1252 Washington Avenue n/a Detroit Lakes Becker MN 56501 (218) 847-6316 (218) 847-6303 Patrick Krueger President www.imagingsolutionsinc.com
Clinic CRMC - Baxter Clinic 13205 Isle Drive n/a Baxter Crow Wing MN 56425 (218) 546-7000 n/a Amy Hart CEO wwww.cuyunamed.org
Imaging Facility DMS Imaging - CT087 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT088 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT089 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT099 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT100 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT101 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT102 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT107 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT108 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT109 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT111 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - CT112 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR051 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR058 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR072 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR074 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR075 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR076 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR086 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR102 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR113 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR117 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR118 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR119 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR120 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR121 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html 2 of 6 Health Care Cost Information System (HCCIS)
health.hccis@state.mn.us Minnesota Department of Health
Type of Facility Diagnostic Imaging Facility Name Address Multiple Unit City County State Zip Phone Fax Administrator Administrator Title Web
Imaging Facility DMS Imaging - MR130 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR137 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR139 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR140 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR141 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR142 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR143 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR144 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR145 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR146 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR147 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR148 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR153 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR157 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR159 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR161 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR165 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - MR167 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM024 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM044 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM048 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM053 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM054 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM055 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM062 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM066 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM071 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM075 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM076 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM080 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM081 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM082 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM084 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - NM085 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC004 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC007 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC010 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC014 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC015 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC022 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC023 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC027 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Imaging - PC030 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim CT - (Catalina Imaging - CT) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim CT - (Interim Diagnostic Imaging, LLC) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim CT - (MobileScan - CT) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim CT - (MPX Sales & Service, LLC - CT) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim CT - (Scanworks - CT) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim CT - (Shared Medical Services - CT) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim MRI - (Insight Health Services Corp. - MRI) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim MRI - (Oxford - MRI) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim MRI - (Shared Medical Services - MRI) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim MRI - (Transcend Imaging - MRI) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 235-1582 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim NM - (Alliance Imaging - NM) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim PC - (DIRS - PC) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim PC - (Shared Medical Services - PC) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility DMS Interim SPECT- (Cameron Medical, LLC - SPECT) 728 East Beaton Drive Suite 101 West Fargo Cass ND 58078 (701) 237-9073 (701) 297-3077 n/a n/a www.dmshealth.com
Imaging Facility Duluth Imaging, LLC 910 East Second Street n/a Duluth St. Louis MN 55805 (218) 722-5390 (218) 722-7501 Tiffany Spartz EVP, Operations www.rayusradiology.com
Clinic Ear, Nose & Throat Specialty Care - Burnsville 14101 Fairview Drive Suite 340 Burnsville n/a MN 55337 (952) 435-3050 (952) 435-3931 Richard Belin Clinic Administrator www.entsc.com
Clinic Ear, Nose & Throat Specialty Care - Minneapolis 6099 Wayzata Boulevard Suite 200 St. Louis Park Hennepin MN 55416 (612) 871-1144 (612) 871-2012 Richard Belin Clinic Administrator www.entsc.com
Clinic Essentia Health Grand Rapids Clinic 1542 Golf Course Road Suite 203 Grand Rapids Itasca MN 55744 (218) 322-4868 (218) 322-4893 Amanda Reed Clinic Director n/a
Clinic Essentia Health Hibbing Clinic 730 East 34th Street n/a Hibbing St. Louis MN 55746 (218) 262-3425 (218) 262-5670 Karlene Madill Senior Director n/a
Clinic Essentia Health International Falls Clinic 2501 Keenan Drive n/a International Falls Koochiching MN 56649 (218) 283-9431 (218) 285-6240 Rob Davenport Clinic Operations Manager n/a
Imaging Facility Essentia Health Lakes Imaging 2019 South Sixth Street n/a Brainerd Crow Wing MN 56401 (218) 822-6736 (218) 822-3758 Janelle Mienert Diagnostic Imaging Manager n/a

http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html 3 of 6 Health Care Cost Information System (HCCIS)


health.hccis@state.mn.us Minnesota Department of Health
Type of Facility Diagnostic Imaging Facility Name Address Multiple Unit City County State Zip Phone Fax Administrator Administrator Title Web
Clinic Essentia Health Park Rapids Hwy 34 Clinic 1103 First Street East n/a Park Rapids n/a MN 56470 (218) 732-6300 n/a Rachel Skoog Radiology n/a
Clinic Fairview Blaine Clinic 10961 Club West Parkway NE n/a Blaine Anoka MN 55449 (763) 572-5700 (763) 528-2950 Deborah Hollerich Clinic Administrator www.fairview.org/clinics/primary/c_563010.asp
Clinic Fairview Maple Grove Medical Center 14500 - 99th Avenue North n/a Maple Grove Hennepin MN 55369 (763) 898-1000 (763) 898-1009 Richie Howell VP of Maple Grove Clinics and Surgery C www.fairview.org
Clinic Gundersen Winona Campus 1122 West Highway 61 n/a Winona Winona MN 55987 (507) 615-0600 (507) 615-0632 Rachel Albrecht Vice President www.gundersenheath.org
Imaging Facility iCare Diagnostic Imaging, LLC 2781 Freeway Boulevard Suite 160 Brooklyn Center n/a MN 55430 (763) 244-8020 (763) 244-8021 Jason Stadther DC n/a
Clinic i-Health Collaborative - Vascular Interventional Experts - Edina 4100 Minnesota Drive Suite 310 Edina Hennepin MN 55435 (952) 838-0650 (952) 838-0651 Julie Campos Clinic Manager www.viemn.com
Imaging Facility Imaging Center of Maple Grove 9855 Hospital Drive Suite 150 Maple Grove Hennepin MN 55369 (763) 398-6363 (763) 398-6364 Troy Roovers Chief Manager www.mplsrad.com
Imaging Facility Imaging Center of Plymouth 2800 Campus Drive Suite 30 Plymouth Hennepin MN 55441 (763) 398-6390 (763) 398-6391 Troy Roovers Chief Manager www.mplsrad.com
Imaging Facility Imaging Solutions, Inc. - Mobile MRI 5257 27th Street South Suite 101 Fargo n/a ND 58104 (701) 297-0305 (701) 235-4847 Michele Kramlich Administrator www.imagingsolutionsinc.com
Clinic Inspired Spine Health - Burnsville 1601 Highway 13 East Suite 101 Burnsville Dakota MN 55337 (952) 405-6952 (855) 430-6952 Krista Stockert SVP/Practice Administrator www.inspiredspine.com
Imaging Facility Interim Diagnostic Imaging, LLC - CT-1 4960 Yuma Court North n/a Plymouth Hennepin MN 55446 (763) 553-9900 (763) 374-7610 Lynn Behrns President www.interimdiagnostic.com
Imaging Facility Interim Diagnostic Imaging, LLC - MRI-1 4960 Yuma Court North n/a Plymouth Hennepin MN 55446 (763) 553-9900 (763) 374-7610 Lynn Behrns President www.interimdiagnostic.com
Clinic Interventional Pain & Physical Medicine Clinic 2301 Connecticut Avenue South n/a Sartell Stearns MN 56303 (320) 229-1500 (320) 229-1505 Stacy Kowalkowski Administrator www.ippmc.com
Clinic Janning ENT Center 1801 19th Avenue SW n/a Willmar Kandiyohi MN 56201 (320) 231-3277 (320) 214-5758 Heidi Graves Administrator www.janningentcenter.com
Clinic Johnson Spinal Care Associates, PA - Apple Valley 14859 Energy Way n/a Apple Valley Dakota MN 55124 (952) 432-3333 (952) 432-4444 Beth Norris Administrator www.johnsonspinalcare.com
Clinic Johnson Spinal Care Associates, PA - Savage 8678 Eagle Creek Circle n/a Savage Scott MN 55378 (952) 432-3333 (952) 432-4444 Beth Norris Administrator www.johnsonspinalcare.com
Imaging Facility Kings Medical Group (CT) 4125 Highlander Parkway Suite 150 Richfield n/a OH 44286 (330) 653-3968 (330) 528-1796 Brenda Vargo Accounting Assistant www.kingsmedical.com
Imaging Facility Kings Medical Group (MRI) 1920 A Georgetown Road n/a Hudson n/a OH 44236 (330) 528-1765 (330) 528-1796 Brenda Vargo Accounting Assistant www.kingsmedical.com
Clinic Lakeview Clinic, Ltd. 424 State Highway 5 West n/a Waconia Carver MN 55387 (952) 442-4461 (952) 442-1547 Tracy Rheineck CEO www.lakeviewclinic.com
Imaging Facility LifeScan Minnesota 6545 France Avenue South Suite 115 Edina Hennepin MN 55435 (952) 937-9700 (952) 937-9701 Mark Martin COO www.midwestreadiology.com
Imaging Facility Magnetic Resonance Imaging Services Partnership (MRSP) 1420 Fourth Street SW n/a Mason City n/a IA 50401 (651) 201-1905 (641) 424-8059 Carol Kelley Administrator n/a
Clinic Mankato Clinic 1230 East Main Street n/a Mankato Blue Earth MN 56002 (507) 625-1811 (507) 625-5566 Randall Farrow CEO www.mankato-clinic.com
Clinic Mankato Clinic - Wickersham Health Campus 1421 Premier Drive n/a Mankato Blue Earth MN 56001 (507) 625-1811 (507) 625-5566 Randall Farrow CEO www.mankato-clinic.com
Clinic Mayo Clinic - CHARLTON BLDG 10 Third Avenue NW n/a Rochester Olmsted MN 55905 n/a n/a Eric Reeve Administrator - Radiology www.mayoclinic.com
Clinic Mayo Clinic - GONDA BLDG 100 Third Avenue SW n/a Rochester Olmsted MN 55905 n/a n/a Eric Reeve Administrator - Radiology www.mayoclinic.com
Clinic Mayo Clinic - JACOBSON BLDG 190 Second Street NW n/a Rochester Olmsted MN 55901 n/a n/a Eric Reeve Administrator - Radiology www.mayoclinic.com
Clinic Mayo Clinic - MAYO BLDG 200 First Street SW n/a Rochester Olmsted MN 55095 n/a n/a Eric Reeve Administrator - Radiology www.mayoclinic.com
Clinic Mayo Clinic - MAYO CLINIC SQUARE 600 Hennepin Avenue Suite 310 Minneapolis Hennepin MN 55402 n/a n/a Eric Reeve Administrator - Radiology www.mayoclinic.com
Clinic Mayo Clinic Health System - Owatonna 2200 26th Street NW n/a Owatonna Steele MN 55060 (507) 451-1120 n/a David Berg Senior Administrator www.owatonnaclinic.com
Imaging Facility Mayo Clinic Health System Mankato Madison East Health Center 1400 Madison Avenue Suite 100B Mankato Blue Earth MN 56001 n/a n/a Travis Paul Chair of Administration www.mayoclinic.com
Imaging Facility Midwest Radiology Outpatient Imaging Burnsville 14000 Nicollet Avenue South Suite 204 Burnsville Dakota MN 55337 (952) 898-2333 (952) 898-6270 Mark Martin COO www.midwestradiology.com
Imaging Facility Midwest Radiology Outpatient Imaging St. Paul 250 Thompson Street n/a St. Paul Ramsey MN 55102 (651) 297-6504 (651) 297-6510 Mark Martin COO www.midwestradiology.com
Clinic Minneapolis Clinic of Neurology, Ltd - Burnsville 501 East Nicollet Boulevard Suite 100 Burnsville Dakota MN 55337 (952) 435-8516 (952) 435-8518 Kurt Neil Executive Director www.minneapolisclinic.com
Clinic Minneapolis Clinic of Neurology, Ltd - Golden Valley 4225 Golden Valley Road n/a Golden Valley Hennepin MN 55422 (763) 588-0661 (763) 287-2303 Kurt Neil Executive Director www.minneapolisclinic.com
Imaging Facility Minneapolis Clinic of Neurology, Ltd - Golden Valley (MRI 1) 4225 Golden Valley Road n/a Golden Valley Hennepin MN 55422 (763) 588-0661 (763) 287-2303 Kurt Neil Executive Director www.minneapolisclinic.com
Imaging Facility Minneapolis Clinic of Neurology, Ltd - Golden Valley (MRI 2) 4225 Golden Valley Road n/a Golden Valley Hennepin MN 55422 (763) 588-0661 (763) 287-2303 Kurt Neil Executive Director www.minneapolisclinic.com
Clinic Minnesota Oncology Hematology - Maple Grove 10150 Niagara Lane North Suite 100 Maple Grove Hennepin MN 55369 (763) 712-2100 (651) 414-3101 Kelly Adams Practice Administrator www.mnoncology.com
Clinic Minnesota Oncology Hematology - Maplewood 1580 Beam Avenue n/a Maplewood Ramsey MN 55109 (651) 779-7978 (651) 779-7656 Amber Saros Practice Manager www.minnesotaoncology.com
Clinic Minnesota Urology, P.A. 7500 France Avenue South n/a Edina Hennepin MN 55435 (952) 653-1431 (952) 926-0294 Natalie VanQuest Administrator n/a
Imaging Facility Minnetonka Imaging MRI 4610 Oak Grove Parkway North n/a Brooklyn Park Hennepin MN 55443 (612) 206-3973 (612) 206-3974 Carlos Rivera DC/President www.minnetonkaimagingmri.com
Imaging Facility Mobile Imaging Services @ Allina Medical Clinic - Northfield (Minneapolis Hea
1400 Jefferson Road n/a Northfield Rice MN 55057 (612) 863-6175 (612) 863-8887 Tom Bania Director n/a
Imaging Facility Mobile Imaging Services @ District One Hospital (Minneapolis Heart Institute200 State Avenue n/a Faribault Rice MN 55021 (612) 863-6175 (612) 863-8887 Tom Bania Director n/a
Imaging Facility Mobile Imaging Services @ Glencoe Regional Health Services (Minneapolis 1805H Hennepin Avenue North n/a Glencoe Mcleod MN 55336 (612) 863-6175 (612) 863-8887 Tom Bania Director n/a
Imaging Facility Mobile Imaging Services @ New Ulm Medical Center (Minneapolis Heart Inst1324 Fifth Street North n/a New Ulm Brown MN 56073 (612) 863-6175 (612) 863-8887 Tom Bania Director n/a
Clinic Noran Neurological Clinic, PA 11091 Ulysses Street NE n/a Blaine Anoka MN 55434 (612) 879-1000 (612) 874-2184 Brad Montgomery Executive Director www.noranclinic.com
Clinic Noran Neurological Clinic, PA 8515 Eagle Point Boulevard n/a Lake Elmo Washington MN 55042 (612) 879-1000 (612) 879-0722 Brad Montgomery Executive Director www.noranclinic.com
Clinic Noran Neurological Clinic, PA 2828 Chicago Avenue South Midtown MedicaMinneapolis Hennepin MN 55407 (612) 879-1000 (612) 879-0913 Brad Montgomery Executive Director www.noranclinic.com
Clinic North Memorial Medical Clinic - Blaine 4181 108th Avenue NE n/a Blaine Anoka MN 55449 (763) 581-5951 n/a Mary Beth McDonald Chief Operating Officer www.northmemorial.com
Clinic North Memorial Medical Clinic - Minnetonka 15450 Highway 7 n/a Minnetonka Hennepin MN 55345 (763) 581-8900 n/a Mary Beth McDonald Chief Operating Officer www.northmemorial.com
Clinic NWHSU - Sweere Clinic 2501 West 84th Street n/a Bloomington Hennepin MN 55431 (952) 856-8620 (952) 888-1957 Michael Tennison VP Clinic & Retail Administration www.nwhealth.edu
Clinic Oakdale Ear, Nose & Throat Clinic - Maple Grove 9825 Hospital Drive Suite 203 Maple Grove n/a MN 55369 (763) 233-5755 (763) 233-5782 Marya Lydeen Administrator www.oakdaleent.com
Clinic Oakdale Ear, Nose & Throat Clinic - Robbinsdale 3366 Oakdale Avenue North Suite 150 Robbinsdale n/a MN 55422 (763) 233-5755 (763) 233-5782 Marya Lydeen Administrator www.oakdaleent.com
Clinic Oral & Max. Surgical Consultants, PA - Chanhassen 7770 Dell Road Suite 100 Chanhassen Carver MN 55317 (952) 975-0605 (952) 975-3808 Ashley Wick Clinical Adfministrative Manager www.omscmn.com
Clinic Oral & Max. Surgical Consultants, PA - Edina 7373 France Avenue South Suite 602 Edina Hennepin MN 55435 (952) 835-5003 (952) 835-9598 Ashley Wick Clinical Adfministrative Manager www.omscmn.com
Clinic Oral & Max. Surgical Consultants, PA - Savage 6350 143rd Street Suite 206 Savage Scott MN 55378 (952) 435-4150 (952) 435-7548 Ashley Wick Clinical Adfministrative Manager www.omscmn.com
Clinic Oral & Max. Surgical Consultants, PA - Wayzata 250 Central Avenue North Suite 126 Wayzata Hennepin MN 55391 (952) 475-2266 (952) 475-0637 Ashley Wick Clinical Adfministrative Manager www.omscmn.com
Clinic Oral & Maxillofacial Surgery Associates - Bemidji 3201 Pine Ridge Avenue NW Suite B Bemidji Beltrami MN 56601 (218) 829-1728 (218) 829-1729 Jon Kraemer Office Manager www.omsabrainerd.com
Clinic Oral & Maxillofacial Surgery Associates - Brainerd 1903 Sixth Street South Suite 4 Brainerd Crow Wing MN 56401 (218) 829-1728 (218) 829-1729 Jon Kraemer Office Manager www.omsabrainerd.com
Clinic Oral & Maxillofacial Surgery Associates - Detroit Lakes 1225 Washington Avenue n/a Detroit Lakes Becker MN 56501 (218) 829-1728 (218) 829-1729 Jon Kraemer Office Manager www.omsabrainerd.com
Clinic Orthopaedic Associates of Duluth, PA 1000 East First Street Suite 400 Duluth St. Louis MN 55805 (218) 722-5513 (218) 625-2757 Sheila Hawk Clinic Administrator www.oaduluth.com
Clinic Otolaryngology Head & Neck Surgery, PA DBA Midwest Ear, Nose, and Thro3460 Promenade Avenue n/a Eagan Dakota MN 55123 (651) 702-0750 (651) 287-0232 Jennifer Partridge CT Technical Director www.mwent.net
Clinic Otolaryngology Head & Neck Surgery, PA DBA Midwest Ear, Nose, and Thro3590 Arcade Street n/a Vadnais Heights Ramsey MN 55127 (651) 702-0750 (651) 287-0232 Jennifer Partridge CT Technical Director www.mwent.net
Clinic Otolaryngology, Head & Neck Surgery, P.A. DBA Midwest Ear, Nose & Throa 217 Radio Drive n/a Woodbury Washington MN 55125 (651) 702-0750 (651) 287-0232 Jennifer Partridge CT Technical Director www.mwent.net
Clinic Park Nicollet Clinic Burnsville 14000 Fairview Drive n/a Burnsville Dakota MN 55337 (952) 993-8673 (952) 993-0388 Laura Loberg VP Surgical Specialties n/a

http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html 4 of 6 Health Care Cost Information System (HCCIS)


health.hccis@state.mn.us Minnesota Department of Health
Type of Facility Diagnostic Imaging Facility Name Address Multiple Unit City County State Zip Phone Fax Administrator Administrator Title Web
Clinic Park Nicollet Clinic Maple Grove 9555 Upland Lane North n/a Maple Grove Hennepin MN 55369 (952) 993-1360 (952) 993-0388 Laura Loberg VP Surgical Specialties n/a
Clinic Park Nicollet Clinic St. Louis Park 4951 Excelsior Boulevard n/a St. Louis Park Hennepin MN 55416 (952) 993-1785 (952) 993-0388 Laura Loberg VP Surgical Specialties n/a
Clinic Park Nicollet Clinic Wayzata 250 North Central Avenue Suite 220 Wayzata Hennepin MN 55391 (952) 339-8290 (952) 993-0388 Laura Loberg VP Surgical Specialties n/a
Clinic Physicians Group, LLC 735 Kasota Avenue n/a Minneapolis Hennepin MN 55414 (612) 455-3395 (612) 455-3396 Rob Adams Administrator http://www.physiciansgroupllc.com
Imaging Facility Prenuvo - Minneapolis 4225 Golden Valley Road n/a Golden Valley Hennepin MN 55422 (833) 733-6886 n/a n/a n/a www.prenuvo.com
Clinic Primary ENT LLC 14020 Highway 13 South Suite 350 Savage n/a MN 55378 (952) 395-2500 n/a Melanie Johnson Administrator https://www.primaryent.com/
Imaging Facility RAYUS Radiology 5775 Wayzata Boulevard Suite 400 St. Louis Park Hennepin MN 55416 (740) 745-5103 (740) 745-5273 n/a n/a n/a
Imaging Facility RAYUS Radiology - Eagan 2700 Vikings Circle Suite 110 Eagan Dakota MN 55121 (651) 306-4567 (651) 454-6028 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RAYUS Radiology - Highland Park 2270 Ford Parkway Suite 202 St. Paul n/a MN 55116 (651) 455-5500 (952) 543-6524 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RAYUS Radiology - Maple Grove 9630 Grove Circle North Suite 100 Maple Grove Anoka MN 55369 (763) 416-9916 (763) 416-9926 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RAYUS Radiology - Otsego 9040 Quaday Avenue NE Suite 100 Otsego Stearns MN 55330 (952) 541-1840 n/a Tiffany Spartz EVP, Operations www.rayusradiology,com
Imaging Facility RAYUS Radiology - Sartell 1901 Connecticut Avenue South Suite 200 Sartell Stearns MN 56377 (320) 251-0609 (320) 251-3806 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RAYUS Radiology - Shakopee 2995 Winners Circle Drive Suite 105 Shakopee Scott MN 55379 (952) 541-1840 (952) 543-6527 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RAYUS Radiology - St. Louis Park 5775 Wayzata Boulevard Suite 190 St. Louis Park Hennepin MN 55416 (952) 541-1840 (952) 513-6880 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RAYUS Radiology @ Essentia Health - Deer River 115 Tenth Avenue NE n/a Deer River n/a MN 56636 (952) 541-1840 (952) 513-6880 Tiffany Spartz EVP, Operations www.rayusradiology.com
Imaging Facility RDR at Alliance Imaging - St. Cloud 3351 Roosevelt Road n/a St. Cloud Stearns MN 56301 (320) 255-6530 (320) 255-6365 Matthew Kunkel Board of Governor's Chair www.allianceimagingmn.com
Clinic Sanford Health Detroit Lakes Clinic 1245 Washington Avenue n/a Detroit Lakes Becker MN 56501 (218) 846-2000 (218) 846-2144 Douglas Griffin Vice President - Sanford Clinic www.sanfordhealth.org
Clinic Sanford Health East Grand Forks 929 Central Avenue n/a East Grand Forks Polk MN 56721 (218) 773-6800 n/a Douglas Griffin Vice President - Sanford Clinic www.sanfordhealth.org
Imaging Facility Sanford USD Medical Center - MRI-1 1305 West 18th Street n/a Sioux Falls n/a SD 57117 (605) 333-1000 (605) 333-1531 Paul Hanson President www.sanfordhealth.org
Imaging Facility Sanford USD Medical Center - MRI-2 1305 West 18th Street n/a Sioux Falls n/a SD 57117 (605) 333-1000 (605) 333-1531 Paul Hanson President www.sanfordhealth.org
Imaging Facility Sanford USD Medical Center - MRI-3 1305 West 18th Street n/a Sioux Falls n/a SD 57117 (605) 333-1000 (605) 333-1531 Paul Hanson President www.sanfordhealth.org
Imaging Facility Shared Medical Services - DEX 01 (PET/CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - GIL 01 (PET/CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - HML 03 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - JET 01 (PET/CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - LAI 01 (PET/CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - OSL 01 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SKY 02 (SPECT/CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SKY 03 (PET/CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 17 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 40 (CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 41 (CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 44 (CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 45 (CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 49 (CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 50 (CT) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - SMG 54 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - VIT 01 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - VIT 02 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - WAY 01 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Services - WES 04 (MRI) 209 Limestone Pass n/a Cottage Grove n/a WI 53527 (608) 839-9050 (608) 839-8950 Maureen Kenney President www.sharedmed.com
Imaging Facility Shared Medical Technology, Inc. CT - M1 1422 Naylor Drive SE n/a Bemidji n/a MN 56601 (218) 444-4130 (218) 333-0201 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Shared Medical Technology, Inc. MRI - M1 1422 Naylor Drive SE n/a Bemidji n/a MN 56601 (218) 444-4130 (218) 333-0201 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Shared Medical Technology, Inc. PET/CT - M1 1422 Naylor Drive SE n/a Bemidji n/a MN 56601 (218) 444-4130 (218) 333-0201 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Shared Medical Technology, Inc. SPECT- F1 @ Riverview Healthcare Associ323 South Minnesota n/a Crookston Polk MN 56716 (218) 444-4130 (218) 333-0201 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Shared Medical Technology, Inc. SPECT- F3 @ LifeCare Medical Center 715 Delmore Drive n/a Roseau Roseau MN 56726 (218) 444-4130 (218) 333-0201 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Shared Medical Technology, Inc. SPECT- F4 @ Sanford Thief River Falls Me
3001 Sanford Parkway n/a Thief River Falls Pennington MN 56701 (218) 683-2000 (218) 683-2611 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Shared Medical Technology, Inc. SPECT- M2 (Mobile Unit - 2) 1422 Naylor Drive SE n/a Bemidji Beltrami MN 56601 (218) 444-4130 (218) 333-0201 Greg Lyga CNMT, RSO, Nuclear Medicine Manager www.sharedmedtech.com
Imaging Facility Southwest Minnesota Orthopedics and Sports Medicine, Inc. - Marshall 1401 Nwakama Street n/a Marshall Lyon MN 56258 (507) 929-7696 (507) 337-1979 Jessica Buysse Office Manager, RT http://swm-ortho.com
Imaging Facility Spine and Joint Imaging 485 Arundel Street Suite 102 St. Paul Ramsey MN 55103 (651) 797-3866 (651) 207-5395 Kim Pham Administrator n/a
Clinic St. Cloud Ear, Nose & Throat-Head and Neck Clinic 1528 Northway Drive n/a St. Cloud Stearns MN 56303 (320) 252-0233 (320) 252-1421 Emily Jacobs Director of Operations www.stcloudent.com
Imaging Facility St. Cloud Orthopedic Associates, Ltd. 1901 Connecticut Avenue South n/a Sartell Stearns MN 56377 (320) 259-4100 (320) 257-5523 William Worzala Administrator www.stcloudorthopedics.com
Clinic St. Luke's Duluth Clinic System - Laurentian Medical Clinic 8373 Unity Drive n/a Virginia St. Louis MN 55792 (218) 748-7480 (218) 748-7488 Eric Lohn Co-President & CEO-CFO www.slhduluth.com/clinics-specialties
Clinic St. Paul Rheumatology, P.A. 2854 Highway 55 n/a Eagan Dakota MN 55121 (651) 644-4277 (651) 644-4018 Travis Forgey Administrator www.stpaulrheumatology.com
Imaging Facility Suburban Imaging Coon Rapids 8990 Springbrook Drive Suite 140 Coon Rapids Anoka MN 55433 (763) 792-1900 (763) 792-1901 Mark Martin COO www.midwestradiology.com
Imaging Facility Suburban Imaging Coon Rapids 2 11850 Blackfoot Street NW Suite 180 Coon Rapids Anoka MN 55433 (763) 795-1600 (763) 421-0530 Mark Martin COO www.midwestradiology.com
Imaging Facility Suburban Imaging Maple Grove 12000 Elm Creek Boulevard Suite 310 Maple Grove Hennepin MN 55369 (763) 416-7888 (763) 416-7889 Mark Martin COO www.midwestraadiology.com
Imaging Facility Summit Orthopedics - Midway 1661 St. Anthony Avenue n/a St. Paul Ramsey MN 55104 (651) 968-5276 (651) 730-3988 John Bien CFO www.summitortho.com
Imaging Facility Summit Orthopedics - Eagan 2620 Eagan Woods Drive n/a Eagan Dakota MN 55121 (651) 968-5216 (651) 730-3501 John Bien CFO www.summitortho.com
Imaging Facility Summit Orthopedics - Lakeville 17210 Kenyon Avenue n/a Lakeville Dakota MN 55044 (651) 968-5925 n/a John Bien CFO www.summitortho.com
Imaging Facility Summit Orthopedics - Vadnais Heights 3580 Arcade Street n/a Vadnais Heights Ramsey MN 55127 (651) 968-5760 (651) 968-5775 John Bien CFO www.summitortho.com
Imaging Facility Summit Orthopedics - Woodlake 2090 Woodwinds Drive n/a Woodbury Washington MN 55125 (651) 968-5811 (651) 968-5897 John Bien CFO www.summitortho.com
Clinic The Ear, Nose and Throat Clinic and Hearing Center, PA DBA Renew ENT a7300 France Avenue South Suite 420 Edina Hennepin MN 55435 (952) 832-5252 (952) 548-5254 Jon Peterson Clinic Administrator www.renewent.com
Clinic The Orthopedic & Fracture Clinic, PA 1431 Premier Drive n/a Mankato Blue Earth MN 56001 (507) 386-6600 (507) 386-0252 Suzanne Willaert CEO www.ofc-clinic.com
http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html 5 of 6 Health Care Cost Information System (HCCIS)
health.hccis@state.mn.us Minnesota Department of Health
Type of Facility Diagnostic Imaging Facility Name Address Multiple Unit City County State Zip Phone Fax Administrator Administrator Title Web
Imaging Facility Transcend Imaging LLC 1825 41st Street n/a Cape Coral n/a FL 33914 (952) 250-1969 n/a Steve Richter Managing Partner n/a
Clinic TRIA Orthopaedic - Woodbury 155 Radio Drive n/a Woodbury Washington MN 55125 (952) 831-8742 (952) 831-1626 Steven Housh VP Orthopaedic Services www.tria.com
Clinic TRIA Orthopaedic Center - Bloomington 8100 Northland Drive n/a Bloomington Hennepin MN 55431 (952) 831-8742 (952) 831-1626 Steven Housh VP Orthopaedic Services www.tria.com
Clinic Tristate Brain and Spine Institute 6600 State Hwy 29 South n/a Alexandria Douglas MN 56308 (320) 763-8888 (844) 251-7722 Krista Stockert SVP/Practice Administrator www.inspiredspine.com
Clinic True North Oral Surgery & Implants PLLC 1420 Lake Street South Suite 200 Forest Lake Washington MN 55025 (651) 578-7000 (651) 578-0157 Janelle Morchinek Operations Manager/Administrator www.truenorthoralsurgery.com
Clinic True North Oral Surgery & Implants PLLC 1560 Beam Avenue Suite E Maplewood Ramsey MN 55109 (651) 578-7000 (651) 578-0157 Janelle Morchinek Operations Manager/Administrator www.truenorthoralsurgery.com
Clinic Twin Cities Orthopedics - Blaine 11225 Ulysses Street NE n/a Blaine Anoka MN 55434 (763) 202-2600 (763) 302-2601 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics - Brooklyn Park 5601 96th Avenue North n/a Brooklyn Park Hennepin MN 55443 (763) 786-9543 (763) 786-3320 Aaron Johnson CEO www.tocmn.com
Clinic Twin Cities Orthopedics - Burnsville 1000 West 140th Street n/a Burnsville Dakota MN 55337 (952) 808-3000 (952) 808-3001 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics - Coon Rapids 3111 - 124th Avenue NW Suite 200 Coon Rapids Anoka MN 55433 (763) 427-7300 (763) 427-2802 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics - Eagan 2700 Vikings Parkway n/a Eagan Dakota MN 55121 (952) 456-7600 (952) 456-7601 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics - Maple Grove 9630 Grove Circle North Suite 100 Maple Grove Hennepin MN 55369 (763) 520-7870 (763) 302-2451 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics - Stillwater 5715 Memorial Avenue North n/a Stillwater Washington MN 55082 (651) 439-8807 (651) 439-0232 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics - Woodbury 4040 Radio Drive n/a Woodbury Washington MN 55129 (651) 439-8807 (651) 439-0232 Aaron Johnson CEO www.tcomn.com
Clinic Twin Cities Orthopedics MRI - Edina 4010 West 65th Street n/a Edina Hennepin MN 55435 (952) 456-7005 (952) 456-7599 Aaron Johnson CEO www.tcomn.com
Clinic U of M Health Clinics and Surgery Center 909 Fulton Street SE n/a Minneapolis n/a MN 55455 (612) 676-5957 (612) 676-5173 Joanne Johnson Operations Director www.mhealth.org
Clinic Urgency Room - Eagan 3010 Denmark Avenue n/a Eagan Dakota MN 55121 (651) 789-9900 (651) 789-9901 Thomas Klassen COO www.urgencyroom.com
Clinic Urgency Room - Vadnais Heights 1159 East County Road E n/a Vadnais Heights Ramsey MN 55110 (651) 789-6500 (651) 789-6501 Thomas Klassen COO www.urgencyroom.com
Clinic Urgency Room - Woodbury 7115 Tamarack Road Suite 150 Woodbury Washington MN 55125 (651) 789-7000 (651) 789-9626 Thomas Klassen COO www.urgencyroom.com
Imaging Facility Voyageur Imaging, LLC 393 Dunlap Street Suite LL40 St. Paul Ramsey MN 55104 (651) 647-0000 (651) 847-1111 Hans Castro Office Manager n/a
Clinic Welia Health - Pine City 1425 Main Street North n/a Pine City Pine MN 55063 (320) 629-7505 (320) 629-2202 Randy Ulseth Administrator www.weliahealth.org
Clinic Zenith Spine & Wellness 3947 East Calvary Road Suite 103 Duluth St. Louis MN 55803 (218) 390-5113 n/a Angela Staubs Administrator https://zenithspine.com/

http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html 6 of 6 Health Care Cost Information System (HCCIS)


health.hccis@state.mn.us Minnesota Department of Health

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