ARCADE MEDICAL CLINIC – NPI #1720337900
Clinic/Center

ARCADE MEDICAL CLINIC is an AHC clinic located in SAINT PAUL, MN. NPPES has assigned the NPI number 1720337900 to ARCADE MEDICAL CLINIC on September 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARCADE MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is PARK AVENUE FAMILY PRACTICE. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

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 ARCADE MEDICAL CLINIC below.

NPI Profile for
PARK AVENUE FAMILY PRACTICE

NPI Number
1720337900
Enumeration Date

(about 14 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
PARK AVENUE FAMILY PRACTICE
Doing Business As (dba): ARCADE MEDICAL CLINIC
Primary location
651 ARCADE ST
SAINT PAUL, MN 55106
Phone: (651) 771-5388 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - ARCADE MEDICAL CLINIC is subpart of another organization.
Authorized Official
KAREN LEE
PHYSICIAN
Phone: (651) 771-5388
Updated
Identifiers

Identifiers for ARCADE MEDICAL CLINIC

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
MEDICAIDMN564133100
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)

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.