REGIONAL FAMILY PRACTICE LLC NPI 1679141378

NPI Information

  • NPI: 1679141378
  • Provider Name: REGIONAL FAMILY PRACTICE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 24D2251375
  • Address: 1047 UNIVERSITY AVE W STE 101
    SAINT PAUL, MN
    ZIP 55104
  • Phone: (651) 666-0846

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NPI Details

REGIONAL FAMILY PRACTICE LLC 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). REGIONAL FAMILY PRACTICE LLC NPI is 1679141378. The provider is registered as an organization entity type.

The provider's business location address is:

1047 UNIVERSITY AVE W STE 101
SAINT PAUL, MN
ZIP 55104-751
Phone: (651) 666-0846
Fax: (651) 256-3008

The provider's authorized official is Hassan Hussein Sirat .
The authorized official title is Provider and has the following contact phone number (651) 666-0846.

The CLIA number assigned to this NPI record is 24D2251375 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 1/2/2026.

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/CenterYes

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: 11/21/2025

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