VEIN CLINIC PA
NPI 1669534608
Clinic/Center - Medical Specialty in Chanhassen, MN

Active since December 15, 2006
470 W 78TH ST, STE 250, CHANHASSEN, MN 55317(952) 934-3296(952) 906-1737 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About VEIN CLINIC PA

This page provides the complete NPI Profile along with additional information for Vein Clinic Pa, a provider established in Chanhassen, Minnesota operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1669534608 assigned on December 2006. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Charles Russell Heagle Md (President Owner)

NPI
1669534608 Verify this NPI
Provider Name
VEIN CLINIC PA
Entity Type
Organization
Location Address
470 W 78TH ST STE 250 CHANHASSEN, MN 55317
Location Phone
(952) 934-3296
Location Fax
(952) 906-1737
Mailing Address
PO BOX 84 WACONIA, MN 55387
Mailing Phone
(952) 934-3296
Mailing Fax
(952) 906-1737
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES RUSSELL HEAGLE MD

Authorized Official Title
PRESIDENT OWNER
Authorized Official Phone
(952) 934-3296

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
40432VEOTHER (01)MNBLUE CROSS

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Women's Health)
470 W 78TH ST, SUITE 250
CHANHASSEN, MN 55317
Chiropractor
470 W 78TH ST, SUITE 120
CHANHASSEN, MN 55317
Phlebology
470 W 78TH ST, STE 250
CHANHASSEN, MN 55317
Chiropractor
470 W 78TH ST, SUITE 120
CHANHASSEN, MN 55317
Acupuncturist
470 W 78TH ST, SUITE 120
CHANHASSEN, MN 55317
Specialist
470 W 78TH ST
CHANHASSEN, MN 55317
Specialist
470 W 78TH ST
CHANHASSEN, MN 55317
Dentist (Orthodontics and Dentofacial Orthopedics)
470 W 78TH ST
CHANHASSEN, MN 55317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669534608, enumerated as an "organization" on December 15, 2006.

The provider is located at 470 W 78TH ST STE 250 CHANHASSEN, MN 55317 and the phone number is (952) 934-3296.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.