UNIVERSAL MEDICAL SERVICES INC (NPI# 1396395752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396395752 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL MEDICAL SERVICES INC |
| Other Organization Name | CENTRAL FAMILY CLINIC |
| Practice Address |
3638 Central Ave Ne Minneapolis MN 55418 |
| Practice Telephone | 6123455534 |
| Practice Fax Number | 6128863929 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | THEODORE JAMES (CEO) |
| Authorized Official Telephone | 6128232947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124214630 | Universal Medical Services Inc | Special Hospital | 1801 Nicollet Ave S, Suite 101, Minneapolis, MN 55403-3745 | 2007-09-18 |
| 1831358324 | Universal Medical Services Inc | Clinic/Center | 1801 Nicollet Ave, Minneapolis, MN 55403-3745 | 2008-06-09 |
| 1598924086 | Universal Medical Services Inc | Clinical Medical Laboratory | 1801 Nicollet Ave, Minneapolis, MN 55403-3745 | 2008-06-09 |
| Street Address |
3638 CENTRAL AVE NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093826836 | At Home Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 3638 Central Ave Ne, Minneapolis, MN 55418-1343 | 2006-08-31 |
| 1609139856 | Obsa Abdulla Hassan | Internal Medicine | 3638 Central Ave Ne, Minneapolis, MN 55418-1343 | 2012-06-22 |
| 1043594286 | Gerardette Annamarie Wagner | Registered Nurse | 3638 Central Ave Ne, Minneapolis, MN 55418-1343 | 2011-10-06 |
| 1558685834 | Amin M Yousuf | Physician Assistant | 3638 Central Ave Ne, Minneapolis, MN 55418-1343 | 2010-03-16 |
| 1578704581 | Midwest Health Care Holdings, Inc | Home Health | 3638 Central Ave Ne, Minneapolis, MN 55418-1343 | 2009-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| Find all providers in zip 55418 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
| 1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
| 1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
| 1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
| 1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
| 1841761954 | Hennepin County | Clinic/Center | 3111 First Ave. So., Minneapolis, MN 55408-2055 | 2018-12-16 |
| 1528539624 | Hennepin County | Clinic/Center | 740 East 17th Street, Minneapolis, MN 55404-1601 | 2018-12-16 |
| 1700237708 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave, Minneapolis, MN 55407-2125 | 2016-06-30 |
| 1083083752 | Hennepin County | Clinic/Center | 1015 4th Ave N, Suite 201, Minneapolis, MN 55405-1189 | 2015-09-23 |
| 1285952606 | Cedar Riverside People's Center | Clinic/Center | 2219 Chicago Ave, Minneapolis, MN 55404-3842 | 2010-05-10 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55418 |
Please comment or provide details below to improve the information on UNIVERSAL MEDICAL SERVICES INC.
| 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.