FAMILY HEALTHSERVICES MINNESOTA, P.A (NPI# 1447391420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447391420 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHSERVICES MINNESOTA, P.A |
| Practice Address |
404 Highway 96 W Shoreview MN 55126-1901 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 6514838283 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25407 | 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 |
| 1366584526 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-02-13 |
| 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 |
| 1568503795 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-02-09 |
| Street Address |
404 HIGHWAY 96 W |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356365993 | Bruce H Leppink | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126-1900 | 2006-07-27 |
| 1659939494 | Bryan Alm | Physical Therapist | 404 Highway 96 W, Shoreview, MN 55126-1900 | 2019-06-05 |
| 1982133476 | Lynn Sedlack | Nurse Practitioner | 404 Highway 96 W, Shoreview, MN 55126-1900 | 2017-06-08 |
| 1619157344 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126-1901 | 2007-11-09 |
| 1598967390 | Katherine Elizabeth Lazenby | Physical Therapist | 404 Highway 96 W, Suite E, Shoreview, MN 55126-1901 | 2007-06-04 |
| 1407073513 | Minnhealth Family Physicians, P.a. | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126-1901 | 2007-04-19 |
| 1386655488 | Garrett R Trobec | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126-1900 | 2006-08-11 |
| 1568473650 | Cynthia M Frane | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126-1900 | 2006-08-11 |
| 1407863178 | Robert R Weber | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126-1900 | 2006-08-02 |
| 1760499446 | Christian Peter Anderson | Family Medicine | 404 Highway 96 W, Shoreview, MN 55126 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| 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 |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
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| 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.