| HIPAA
Collaborative Transactions Workgroup |
| Organization Profile - Park Nicollet |
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| Site Name |
Methodist
Hospital |
Methodist
Hospital Home Care |
Park
Nicollet Clinic/Institute |
Park
Nicollet Retail-DME |
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| Site Address |
Methodist Hospital |
Stilts Building |
Park Nicollet Clinic |
Stilts Building |
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| Street |
6500 Excelsior Boulevard |
6700 Excelsior Boulevard |
3800 Park Nicollet Boulevard |
6700 Excelsior Boulevard |
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| City |
St Louis Park |
St Louis Park |
St Louis Park |
St Louis Park |
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| State/Province |
Minnesota |
Minnesota |
Minnesota |
Minnesota |
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| Zip/Postal Code |
55426 |
55426 |
55416 |
55426 |
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| System |
IDX LastWord |
3M HCMS |
IDX BAR |
Fastrack |
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| 1st
Contact |
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| Full Name |
Marty Ziehwein |
Marty Ziehwein |
Tim Wheeler |
Tim Wheeler |
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| Role |
HIPAA/EDI Transactions Workgroup |
HIPAA/EDI Transactions Workgroup |
HIPAA/EDI Transactions Workgroup |
HIPAA/EDI Transactions Workgroup |
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| Job Title |
Director IT Clinical Systems |
Director IT Clinical Systems |
Sr Manager System Development |
Sr Manager System Development |
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| Business |
952.993.9279 |
952.993.9279 |
952.993.7612 |
952.993.7612 |
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| Business Fax |
952.993.9266 |
952.993.9266 |
952.993.9266 |
952.993.9266 |
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| E-mail |
ziehwm@parknicollet.com |
ziehwm@parknicollet.com |
wheelt@parknicollet.com |
wheelt@parknicollet.com |
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| 2nd
Contact: |
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| Full Name |
Jina Cox |
Lisa Mills |
Kyle Lindner |
Grant Willey |
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| Role |
Technical Application Support |
Technical Application Support |
Technical Application Support |
Technical Application Support |
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| Job Title |
Sr Systems Analyst |
Sr Programmer Analyst |
Sr Systems Analyst |
Sr Systems Analyst |
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| Business |
952.993.3207 |
952.993.7493 |
952.993.9862 |
952.993.7699 |
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| Business Fax |
952.993.9266 |
952.993.9266 |
952.993.9266 |
952.993.9266 |
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| E-mail |
coxjl@parknicollet.com |
mikllsl@parknicollet.com |
lindnk@parknicollet.com |
willegr@parknicollet.com |
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| 3rd
Contact: |
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| Full Name |
Patricia Johnson |
Patrica Betlach |
Michael Radel |
Sue Sarych |
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| Role |
Business Application Support |
Business Application Support |
Business Application Support |
Business Application Support |
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| Job Title |
Director Methodist Business Services |
Director Community Care |
Manager Busines Services |
Supervisor Retail Administration |
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| Business |
952.993.7535 |
952.993.6199 |
952.993.7636 |
952.993.1507 |
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| Business Fax |
952.993.1980 |
952.993.5081 |
953.993.7532 |
952.993.1503 |
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| E-mail |
johnspa@parknicollet.com |
betlap@parknicollet.com |
radelm@parknicollet.com |
sarysc@parknicollet.com |
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