ST. PAUL FAMILY MEDICAL CENTER (NPI# 1346302981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346302981 |
| Entity Type | Organization |
| Organization Name | ST. PAUL FAMILY MEDICAL CENTER |
| Practice Address |
1239 Payne Ave Saint Paul MN 55130 |
| Practice Telephone | 6512098350 |
| Mailing Telephone | 6512098350 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | PHUA XIONG (PRESIDENT) |
| Authorized Official Telephone | 6512098350 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1571 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PATIENT CHOICE | G174 | 01 |
| MN | MEDICA | 01-09122 | 01 |
| MN | 489369700 | 05 | |
| MN | UCARE MINNESOTA | 170453 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 156J3ST | 01 |
| MN | HEALTHPARTNERS | 83934 | 01 |
| Street Address |
1239 PAYNE AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327781 | Sivilai Vang | Nurse Practitioner | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2019-10-11 |
| 1578113932 | Alyssa Shenyeng Moualee | Physician Assistant | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2019-09-18 |
| 1275839805 | Bee Her | Pharmacist | 1239 Payne Ave, Suite 202, Saint Paul, MN 55130-3538 | 2011-01-29 |
| 1629374251 | Alliance Pharmacy Care Inc | Pharmacy | 1239 Payne Ave, Suite 202, Saint Paul, MN 55130-3538 | 2011-01-29 |
| 1982896395 | Minhchau Le Harms | Physician Assistant | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2007-08-10 |
| 1720296635 | Chiatuogu Ukaga | Nurse Practitioner | 1239 Payne Ave, Suite 200, Saint Paul, MN 55130-3538 | 2007-05-21 |
| 1720149347 | Phua Xiong | Family Medicine | 1239 Payne Ave, Saint Paul, MN 55130 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| 1740849454 | Bilterms Solutions Inc | Clinic/Center | 2430 University Ave W, Saint Paul, MN 55114-1706 | 2019-06-07 |
| 1215334578 | St Paul Clinic LLC | Clinic/Center | 301 University Ave W, Saint Paul, MN 55103-2048 | 2014-12-02 |
| 1518192798 | Family Eyecare Pa | Clinic/Center | 2309 Como Ave, Saint Paul, MN 55108-1723 | 2009-05-18 |
| 1871779595 | Associated Hearing Instruments of St Paul Inc | Clinic/Center | 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 | 2008-01-11 |
| 1932389897 | Dr. Bobby K. Yang M.d. Medical Clinic, LLC | Clinic/Center | 1047 University Ave W, Suite 101, Saint Paul, MN 55104-4751 | 2007-11-08 |
| 1942384193 | United Family Practice Health Center | Clinic/Center | 1307 Maynard Dr W, Suite 13, Saint Paul, MN 55116-2930 | 2006-10-24 |
| 1235755349 | Abundant Life Health Coaches, LLC | Clinic/Center | 808 Berry St Apt 237, Saint Paul, MN 55114-1474 | 2020-06-24 |
| 1306470737 | Fairview Clinics | Clinic/Center | 580 Rice St, Saint Paul, MN 55103-2148 | 2020-02-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on ST. PAUL FAMILY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.