FAMILY HEALTHSERVICES MINNESOTA, P.A (NPI# 1518009307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518009307 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHSERVICES MINNESOTA, P.A |
| Practice Address |
2980 Buckley Way Inver Grove Heights MN 55076-2017 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 6514572748 |
| Enumeration Date | 2007-02-12 |
| 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 | 24858 | 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 |
| 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 |
2980 BUCKLEY WAY |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55076-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598776064 | John J Vukelich | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2006-08-10 |
| 1174031785 | Andrew Louis Seliga | Physician Assistant | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2018-01-17 |
| 1386099851 | Brandon Clifford Ng | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2016-05-03 |
| 1932517216 | Whitney P Worley | Physician Assistant | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2014-07-30 |
| 1497199525 | Nicole Solberg | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2013-04-19 |
| 1447413539 | Sarah Elizabeth Gordon Masrud | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2008-07-08 |
| 1538349253 | Family Healthservices Minnesota, P.a. | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2007-11-09 |
| 1760600258 | East Metro Family Practice, P.a. | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2007-04-23 |
| 1871504977 | Constance M Erdmann | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2006-08-11 |
| 1154332195 | Anthony B Ferrara | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582855 | Pediatric Therapy Options, LLC | Occupational Therapist | 2865 Upper 62nd St E, Inver Grove Heights, MN 55076 | 2019-01-15 |
| 1104316942 | Connie Ann Stoltz | Health Educator | 3837 73rd St E, Inver Grove Heights, MN 55076 | 2018-05-17 |
| 1457888638 | Andrew Eccles | Physical Therapist | 5836 Blaine Ave, Inver Grove Heights, MN 55076 | 2017-05-18 |
| 1760805261 | Melissa Schmidt Heinonen | Nurse Practitioner | 5975 Carmen Ave E, Dakota Pediatrics, Inver Grove Heights, MN 55076 | 2014-02-04 |
| 1346382017 | Karen Marcus Sames | Occupational Therapist | 5695 Blaine Ave., Inver Grove Heights, MN 55076 | 2007-02-12 |
| 1386785525 | Robert Stephen Roloff | Chiropractor | 2940 65th Street East, Inver Grove Heights, MN 55076 | 2007-02-09 |
| 1013002583 | Michael Ward | Psychologist | 6775 Cahill Ave, Inver Grove Heights, MN 55076 | 2006-10-03 |
| 1083227573 | Megan Stumpf | Speech-Language Pathologist | 2925 Buckley Way, Inver Grove Heights, MN 55076 | 2020-08-25 |
| 1336638097 | Lynsey R Miron | Psychologist | 5838 Blackshire Path, Inver Grove Heights, MN 55076 | 2018-05-08 |
| 1346474509 | Kathleen Grennan Hopkins | Family Medicine | 5565 Blaine Avenue, Allina Health Inver Grove Heights Clinic, Inver Grove Heights, MN 55076 | 2009-05-04 |
| Find all providers in zip 55076 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55076 |
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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.