Organization
UNITED FAMILY PRACTICE HEALTH CENTER
Active
Other names
United Family Practice Health Center Sibley Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ANN NYAKUNDI (CEO)
(651) 241-1084
Entity
Organization
Contact information
Practice address
1307 MAYNARD DR W, SUITE 13, SAINT PAUL, MN 55116-2930
(651) 699-2093
Mailing address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 241-1000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164690
UCARE
MN
01
—
282M2UN
BLUE CROSS
MN
05
—
697442000
—
MN
01
—
DB2459
RAILROAD MEDICARE
MN
01
—
NA398
PREFERRED ONE
MN
Enumeration date
10/24/2006
Last updated
03/12/2021
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