# REGIONAL PHYSICIAN SERVICES OF MINNESOTA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY CARE HEALTH NETWORK INC
- **Other names:** Matrix Medical Network
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588998744
- **Legal business name:** COMMUNITY CARE HEALTH NETWORK INC
- **Authorized official:** VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (480) 862-1695

## Contact information

- **Practice address:** 100 S 5TH ST FL 19, MINNEAPOLIS, MN 55402-1210
- **Practice address phone:** (480) 862-1677
- **Practice address fax:** (480) 718-7643
- **Mailing address:** 9201 E MOUNTAIN VIEW, SUITE 220, SCOTTSDALE, AZ 85258
- **Mailing address phone:** (480) 862-1700
- **Mailing address fax:** (480) 907-1537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 12/10/2019