Provider Type Icon

FAMILY TREE INC NPI 1952417412


NPI Information

NPI: 1952417412
Provider Name: FAMILY TREE INC

Doing Business As: FAMILY TREE CLINIC

Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

CLIA Number: 24D0399071

Address:
1919 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 473-0800
Get Directions

FAMILY TREE INC is an ambulatory family planning facility clinic center in Minneapolis, MN. The provider is an abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. FAMILY TREE INC NPI is 1952417412. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Tree Clinic.

The provider's business location address is:

1919 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 473-0800

The provider's authorized official is Deborah Angelucci .
The authorized official title is Senior Director Of Finance & Hr and has the following contact phone number (651) 272-3551.

The CLIA number assigned to this NPI record is 24D0399071 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/21/2006 and was last updated on 11/30/2021.


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
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityYes

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
1645753300MEDICAIDMINNESOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.