FAMILY HEALTHSERVICES MINNESOTA, P.A
NPI 1720120645
Non-Pharmacy Dispensing Site in White Bear Lake, MN

Active since February 14, 2007
4786 BANNING AVE, WHITE BEAR LAKE, MN 55110(651) 426-6402 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Healthservices Minnesota, P.a NPPES

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

FAMILY HEALTHSERVICES MINNESOTA, P.A (NPI 1720120645) 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

NPI1720120645
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAMILY HEALTHSERVICES MINNESOTA, P.A
Location Address4786 BANNING AVEWhite Bear Lake, MN 55110-3264
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 1720120645 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 · 38068
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.)

4786 BANNING AVE, White Bear Lake, MN 55110

Other Providers at the Same Location NPPES 7

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

Physician Assistant
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110
Family Medicine
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110
Family Medicine
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110
Family Medicine
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110
Family Medicine
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110
Family Medicine
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110
Nurse Practitioner (Family)
4786 BANNING AVE
WHITE BEAR LAKE, MN 55110

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 Family Healthservices Minnesota, P.A's NPI number?

The NPI number for Family Healthservices Minnesota, P.A is 1720120645. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Family Healthservices Minnesota, P.A located?

Family Healthservices Minnesota, P.A is located at 4786 Banning Ave, White Bear Lake, MN 55110. The listed phone number is (651) 426-6402.

What is Family Healthservices Minnesota, P.A's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Family Healthservices Minnesota, P.A was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.