Organization
UNIVERSAL MEDICAL SERVICES INC
Active
Other names
Central Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE JAMES (CEO)
(612) 823-2947
Entity
Organization
Contact information
Practice address
3638 CENTRAL AVE NE, MINNEAPOLIS, MN 55418
(612) 345-5534
(612) 886-3929
Mailing address
3638 CENTRAL AVE NE, MINNEAPOLIS, MN 55418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
02/26/2020
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