FAMILY HEALTHSERVICES MINNESOTA, P.A (NPI# 1366584526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366584526 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHSERVICES MINNESOTA, P.A |
| Practice Address |
1540 Randolph Ave Saint Paul MN 55105-2535 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 6516998333 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | SCOTT PETERSON (CFO) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 27058 | MN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811039050 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 3550 Labore Rd, Suite 7, Saint Paul, MN 55110-7505 | 2007-02-13 |
| 1720120645 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2007-02-14 |
| 1265574198 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 3220 Bellaire Ave, White Bear Lake, MN 55110-5854 | 2007-02-14 |
| 1841332087 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 2716 Upper Afton Rd E, Maplewood, MN 55119-4780 | 2007-02-13 |
| 1588706378 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 2601 Centennial Dr, 100, Saint Paul, MN 55109-3041 | 2007-02-12 |
| 1417098278 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2007-02-12 |
| 1518009307 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2007-02-12 |
| 1538201280 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 911 Maryland Ave E, Saint Paul, MN 55106-2647 | 2007-02-12 |
| 1447391420 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 404 Highway 96 W, Shoreview, MN 55126-1901 | 2007-02-10 |
| 1568503795 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-02-09 |
| Street Address |
1540 RANDOLPH AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233731 | Amy Loreen Gilbert | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2005-08-31 |
| 1609251628 | Nicole Kwapick | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105 | 2015-07-21 |
| 1053731323 | Aaron Ulland | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2014-04-24 |
| 1073847067 | Sarah Christine Olson | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2009-09-24 |
| 1629258348 | Family Healthservices Minnesota, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-11-09 |
| 1598983082 | East Metro Family Practice, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-04-23 |
| 1427061944 | Alden R Tetlie | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-14 |
| 1124039177 | Denise J Long | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1336150473 | Steven C Skildum | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1316953086 | Michelle L Swiglo | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811039050 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 3550 Labore Rd, Suite 7, Saint Paul, MN 55110-7505 | 2007-02-13 |
| 1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
| 1689230971 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 580 Rice St, Saint Paul, MN 55103-2148 | 2019-05-13 |
| 1750947040 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-05-13 |
| 1891250031 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 | 2019-02-01 |
| 1346755576 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-12-11 |
| 1427563659 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 45 10th St W, Saint Paul, MN 55102-1062 | 2017-12-11 |
| 1124533450 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 980 Rice St, Saint Paul, MN 55117-4949 | 2017-12-08 |
| 1114432440 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2017-12-08 |
| 1780199026 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2017-12-08 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on FAMILY HEALTHSERVICES MINNESOTA, P.A.
| 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.