ENTIRA FAMILY CLINICS - WHITE BEAR LAKE-BELLAIRE
NPI 1265574198
Non-Pharmacy Dispensing Site in White Bear Lake, MN

Active since February 14, 2007
3220 BELLAIRE AVE, WHITE BEAR LAKE, MN 55110(651) 777-8149 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Entira Family Clinics - White Bear Lake-bellaire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENTIRA FAMILY CLINICS - WHITE BEAR LAKE-BELLAIRE (NPI 1265574198) is a healthcare organization registered as a non-pharmacy dispensing site in White Bear Lake, Minnesota and active in the NPI registry since February 2007. The organization lists Scott Peterson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265574198
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAMILY HEALTHSERVICES MINNESOTA, P.A
Location Address3220 BELLAIRE AVEWhite Bear Lake, MN 55110-5854
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701 · (858) 625-2990
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialScott PetersonCfo · (858) 625-2990
Enumeration DateFebruary 14, 2007
Last NPPES UpdateApril 11, 2017
NPI 1265574198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in MN · 45801
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3220 BELLAIRE AVE, White Bear Lake, MN 55110

Other Names 1

Doing Business AsEntira Family Clinics - White Bear Lake-bellaire

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3220 BELLAIRE AVE
WHITE BEAR LAKE, MN 55110
Family Medicine
3220 BELLAIRE AVE
WHITE BEAR LAKE, MN 55110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265574198, enumerated as an "organization" on February 14, 2007.

The provider is located at 3220 BELLAIRE AVE WHITE BEAR LAKE, MN 55110 and the phone number is (651) 777-8149.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.