OAKDALE FAMILY PRACTICE PC NPI 1841388964

NPI Information

  • NPI: 1841388964
  • Provider Name: OAKDALE FAMILY PRACTICE, PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3366 OAKDALE AVE N
    SUITE 403
    ROBBINSDALE, MN
    ZIP 55422
  • Phone: (763) 529-9131

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NPI Details

OAKDALE FAMILY PRACTICE, PC is a clinic center in Robbinsdale, 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). OAKDALE FAMILY PRACTICE, PC NPI is 1841388964. The provider is registered as an organization entity type.

The provider's business location address is:

3366 OAKDALE AVE N
SUITE 403
ROBBINSDALE, MN
ZIP 55422-948
Phone: (763) 529-9131
Fax: (763) 529-5519

The provider's authorized official is Gene Wayne Velasco .
The authorized official title is Owner and has the following contact phone number (763) 529-9131.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 5/16/2008.

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/Center24D0670882MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1487659600OTHERDEPT OF LABOR
2NA376OTHERMINNESOTAPREFERRED ONE
3P153OTHERMINNESOTAUCARE
406744HAOTHERMINNESOTABCBS MN
5CH8589OTHERRAILROAD MEDICARE
6767798700MEDICAIDMINNESOTA
7C04778MEDICARE PINMINNESOTA

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: 3/30/2025

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