Organization
FAMILY HEALTHSERVICES MINNESOTA, P.A
Active
Parent organization
MEDVANTX, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
2601 CENTENNIAL DR, 100, SAINT PAUL, MN 55109-3041
(651) 777-7414
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
50179
MN
Other
Enumeration date
02/12/2007
Last updated
06/09/2016
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