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ST. PAUL FAMILY MEDICAL CENTER NPI 1346302981


NPI Information

NPI: 1346302981
Provider Name: ST. PAUL FAMILY MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 24D0999563

Address:
1239 PAYNE AVE
SAINT PAUL, MN
ZIP 55130
Phone: (651) 209-8350
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ST. PAUL FAMILY MEDICAL CENTER is a clinic center in Saint Paul, MN. The provider is 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). ST. PAUL FAMILY MEDICAL CENTER NPI is 1346302981. The provider is registered as an organization entity type.

The provider's business location address is:

1239 PAYNE AVE
SAINT PAUL, MN
ZIP 55130
Phone: (651) 209-8350

The provider's authorized official is Phua Xiong .
The authorized official title is President and has the following contact phone number (651) 209-8350.

The CLIA number assigned to this NPI record is 24D0999563 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/13/2006 and was last updated on 10/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center1571MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101-09122OTHERMINNESOTAMEDICA
2489369700MEDICAIDMINNESOTA
3080011750MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
4170453OTHERMINNESOTAUCARE MINNESOTA
583934OTHERMINNESOTAHEALTHPARTNERS
6156J3STOTHERMINNESOTABLUE CROSS BLUE SHIELD
7G174OTHERMINNESOTAPATIENT CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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