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EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION NPI 1972734721


NPI Information

NPI: 1972734721
Provider Name: EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION

Other Name: THE URGENCY ROOM - WOODBURY

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 24D2011714

Address:
7115 TAMARACK ROAD
SUITE 150
WOODBURY, MN
ZIP 55125
Phone: (651) 789-7000
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EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION is an urgent care clinic center in Woodbury, MN. EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION NPI is 1972734721. The provider is registered as an organization entity type.
The provider Other Name Is The Urgency Room - Woodbury.

The provider's business location address is:

7115 TAMARACK ROAD
SUITE 150
WOODBURY, MN
ZIP 55125-208
Phone: (651) 789-7000
Fax: (952) 835-4403

The provider's authorized official is Kristi Rennich .
The authorized official title is Director, Finance and has the following contact phone number (952) 857-1501.

The CLIA number assigned to this NPI record is 24D2011714 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/28/2009 and was last updated on 9/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareNo
2261QU0200XClinic/CenterUrgent CareMINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17350369MEDICAIDMINNESOTA

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: 4/28/2024

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