# FAMILY HEALTHSERVICES MINNESOTA, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Entira Family Clinics - Hugo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639359359
- **Authorized official:** KEN PALATTAO (CAO)
- **Authorized official phone:** (651) 772-1572

## Contact information

- **Practice address:** 14688 EVERTON AVE N, HUGO, MN 55038-6071
- **Practice address phone:** (651) 788-4444
- **Practice address fax:** (651) 429-3402
- **Mailing address:** 2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
- **Mailing address phone:** (651) 772-1572
- **Mailing address fax:** (651) 772-1889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1428 | MN | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 10/14/2025