AXIS MEDICAL CENTER – NPI #1124214630
Clinic/Center

AXIS MEDICAL CENTER is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1124214630 to AXIS MEDICAL CENTER on September 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AXIS MEDICAL CENTER” is a dba name, the actual legal business name for this organization is UNIVERSAL MEDICAL SERVICES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 10 years ago on Sep 20, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AXIS MEDICAL CENTER below.

NPI Profile for
UNIVERSAL MEDICAL SERVICES INC

NPI Number
1124214630
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSAL MEDICAL SERVICES INC
Doing Business As (dba): AXIS MEDICAL CENTER
Primary location
1801 NICOLLET AVE S
SUITE 101
MINNEAPOLIS, MN 55403-3745
Phone: (612) 823-2947 Fax: (612) 870-2947
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRISPIN SEMAKULA
BOARD CHAIRMAN
Phone: (612) 823-2947
Updated
Identifiers

Identifiers for AXIS MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN5671767000(MHCP)
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
284300000X
- Special Hospital
207W00000X
- Ophthalmology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.