CENTRAL FAMILY CLINIC – NPI #1396395752
Clinic/Center

CENTRAL FAMILY CLINIC is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1396395752 to CENTRAL FAMILY CLINIC on September 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL FAMILY CLINIC” 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 6 years ago on Feb 26, 2020. 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 CENTRAL FAMILY CLINIC below.

NPI Profile for
UNIVERSAL MEDICAL SERVICES INC

NPI Number
1396395752
Enumeration Date

(more than 6 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): CENTRAL FAMILY CLINIC
Primary location
3638 CENTRAL AVE NE
MINNEAPOLIS, MN 55418
Phone: (612) 345-5534 Fax: (612) 886-3929
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THEODORE JAMES
CEO
Phone: (612) 823-2947
Updated
Certification Date
Feb 26, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
207Q00000X
- Family Medicine

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.