Organization
UNIVERSAL MEDICAL SERVICES, INC.
Active
Other names
AXIS Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN JON RONDESTVEDT (EXECUTIVE DIRECTOR)
(612) 990-6932
Entity
Organization
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
(612) 870-2947
Mailing address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
(612) 870-2947
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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