APPLE VALLEY MEDICAL CLINIC, LTD. – NPI #1366754434
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

APPLE VALLEY MEDICAL CLINIC, LTD. is a provider located in APPLE VALLEY, MN. NPPES has assigned the NPI number 1366754434 to APPLE VALLEY MEDICAL CLINIC, LTD. on July 06, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 9 years ago on Jun 19, 2017. 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 APPLE VALLEY MEDICAL CLINIC, LTD. below.

NPI Profile for
APPLE VALLEY MEDICAL CLINIC, LTD.

NPI Number
1366754434
Enumeration Date

(about 16 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
APPLE VALLEY MEDICAL CLINIC, LTD.
Primary location
14655 GALAXIE AVE
APPLE VALLEY, MN 55124-8575
Phone: (952) 432-6161 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - APPLE VALLEY MEDICAL CLINIC, LTD. is subpart of another organization.
Authorized Official
MARK POTTENGER
ADMINISTRATOR
Phone: (952) 953-9285
Updated
Identifiers

Identifiers for APPLE VALLEY MEDICAL CLINIC, LTD.

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUEE CROSS BLUE SHIELD22345AP
OTHERHEALTHPARTNERS55108
OTHERMEDICARE679251001
OTHERPREFERRED ONE858098
OTHERRAILROAD MEDICARECE7163
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
207Q00000X
- Family Medicine (Primary)
MN 723

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.