Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Albertville - St Michael Clinic

Organization Non-Pharmacy Dispensing Site · NPI 1285804336

Albertville - St Michael Clinic is a Non-Pharmacy Dispensing Site in Albertville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

11091 Jason Ave NE
Albertville, MN 55301-4699
Phone: (763) 684-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 53129 (MN)

Record details

NPI number1285804336
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
NPI enumeratedMarch 5, 2008
Last updated in NPPESJuly 14, 2015
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705