St. Paul Family Medical Center

LBN: St. Paul Family Medical Center
St. Paul Family Medical Center is an health care organization with primary practice located at 1239 Payne Ave , Saint Paul MN 55130. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. St. Paul Family Medical Center can be contacted via phone (651) 209-8350, or through Xiong, Phua via phone (651) 209-8350.

Contact Information

Primary practice address
1239 Payne Ave Saint Paul MN 55130
Fax:
Website:
Authorized official contact:
Name: Xiong, Phua Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1571 Minnesota

Profile Details

NPI number 1346302981
LBN Legal business name St. Paul Family Medical Center
DBA Doing business as
Authorized official Xiong, Phua Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 17th, 2016 - about 8 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 1346302981 NPPES
Minnesota Other 01-09122 MEDICA
Minnesota MEDICAID 489369700 MEDICA
Minnesota Other G174 MEDICA
Minnesota Other 83934 MEDICA
Minnesota Other 156J3ST MEDICA
Minnesota Other 170453 MEDICA

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