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INTREPID OF MINNESOTA, INC.
NPI 1710653977
Family Medicine - Hospice and Palliative Medicine in Roseville, MN

Active since August 18, 2021
2277 HIGHWAY 36 W STE 316A, ROSEVILLE, MN 55113(651) 633-6404 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intrepid Of Minnesota, Inc. NPPES

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

INTREPID OF MINNESOTA, INC. (NPI 1710653977), doing business as Intrepid Usa Palliative & Supportive Care, is a healthcare organization registered as a hospice and palliative medicine in Roseville, Minnesota and active in the NPI registry since August 2021. The organization lists Paul Mcmullen, Coo, as its authorized official.

NPPES Registry Identity

NPI1710653977
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameINTREPID OF MINNESOTA, INC.
Location Address2277 HIGHWAY 36 W STE 316ARoseville, MN 55113-3804
Mailing Address3220 Keller Springs Rd Ste 108Carrollton, TX 75006-5911
Phone(651) 633-6404
Organization SubpartNo
Authorized OfficialPaul McmullenCoo · (214) 445-3750
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1710653977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
2277 HIGHWAY 36 W STE 316A, Roseville, MN 55113
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Other Names 1

Doing Business AsIntrepid Usa Palliative & Supportive Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intrepid Of Minnesota, Inc.'s NPI number?

The NPI number for Intrepid Of Minnesota, Inc. is 1710653977. It was assigned to this organization in the NPPES registry on August 18, 2021. The provider is doing business as Intrepid USA Palliative & Supportive Care.

Where is Intrepid Of Minnesota, Inc. located?

Intrepid Of Minnesota, Inc. is located at 2277 Highway 36 W Ste 316A, Roseville, MN 55113. The listed phone number is (651) 633-6404.

What is Intrepid Of Minnesota, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

When was this NPI record last updated?

The NPPES record for Intrepid Of Minnesota, Inc. was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.