Edina Sports And Family Medicine

LBN: Edina Sports Health & Wellness, Pa
Edina Sports And Family Medicine is an health care organization with primary practice located at 7701 York Ave S Ste 300 , Edina MN 55435-5864. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edina Sports Health & Wellness, Pa can be contacted via phone (952) 926-6489, or through Taube, Rochelle R. via phone (952) 926-6489.

Contact Information

Primary practice address
7701 York Ave S Ste 300 Edina MN 55435-5864
Fax: (952) 926-6501
Website:
Authorized official contact:
Name: Taube, Rochelle R. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37465 Minnesota

Profile Details

NPI number 1215010335
LBN Legal business name Edina Sports Health & Wellness, Pa
DBA Doing business as Edina Sports And Family Medicine
Authorized official Taube, Rochelle R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 24th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215010335 NPPES
Minnesota MEDICAID 550095800

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