Park Ave Family Practice

LBN: St Paul Primary Care
Park Ave Family Practice is an health care organization with primary practice located at 1345 Thompson Ave , South St Paul MN 55075-1410. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. St Paul Primary Care can be contacted via phone (651) 451-2711, or through Lee, Karen via phone (612) 817-6690.

Contact Information

Primary practice address
1345 Thompson Ave South St Paul MN 55075-1410
Phone: (651) 451-2711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Karen
Phone: (612) 817-6690

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 43414 Minnesota

Profile Details

NPI number 1770972382
LBN Legal business name St Paul Primary Care
DBA Doing business as Park Ave Family Practice
Authorized official Lee, Karen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 20th, 2015
Last updated Jan 20th, 2015 - about 10 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 1770972382 NPPES
Minnesota MEDICAID 100025256
Minnesota Other 080022382

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