University Of Minnesota Physicians

LBN: University Of Minnesota Physicians
University Of Minnesota Physicians is an health care organization with primary practice located at 1414 Maryland Ave E Phalen Village Clinic, Saint Paul MN 55106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. University Of Minnesota Physicians can be contacted via phone (651) 772-3461, or through Johnson, Mary A via phone (612) 884-0802.

Contact Information

Primary practice address
1414 Maryland Ave E Phalen Village Clinic Saint Paul MN 55106
Phone: (651) 772-3461
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Mary A
Phone: (612) 884-0802

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1669519278
LBN Legal business name University Of Minnesota Physicians
DBA Doing business as
Authorized official Johnson, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 20th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669519278 NPPES
Minnesota MEDICAID 701372800

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