NPIMap

Organization Active NPI

United Family Practice Health Center

Doing business as Riverland Community Health

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1851300149
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNITED FAMILY PRACTICE HEALTH CENTER
Doing business as
Riverland Community Health
Practice address
1026 7TH St W
Saint Paul, MN 55102-3828
Phone
(651) 758-9500
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Zachary
Title
Cfo
Phone
(651) 758-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1026 7TH St W
Saint Paul, MN 55102-3828

Mailing address

1026 7TH St W
Saint Paul, MN 55102-3828
Phone (517) 589-5006

Other identifiers 6

IdentifierTypeStateIssuer
NA398OtherMNPREFERRED ONE
282M2UNOtherMNBLUE CROSS BLUE SHIELD
98256OtherMNHEALTH PARTNERS
620943200MedicaidMN
DB2459OtherMNRAILROAD MEDICARE
164690OtherMNUCARE

Other names 1

  • Riverland Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040504000368 MN Part B Supplier - Clinic/Group Practice 0042109258 Receives reassigned benefits from 21 practitioners
3 other NPIs on this enrollment
Practice locations: Saint Paul, MN
O20100827000501 MN Part A Provider - Federally Qualified Health Center (FQHC) 0042109258 Practice locations: Saint Paul, MN
O20100930054872 MN DME Supplier - Physician - Family Practice 0042109258 Practice locations: Saint Paul, MN

Federally qualified health center certification: CCN 241829

Legal name
UNITED FAMILY PRACTICE HEALTH CENTER
Doing business as
UNITED FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 28, 2004
Last certification
Apr 28, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 2004 in MN
Enrollment address
1026 7TH W St
Saint Paul, MN 55102-3828

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0398961United Family Medicine1026 W 7TH St, Saint Paul, MN 55102Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

1026 7th St W
Saint Paul, MN 55102
Phone (651) 241-1000

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anthony Cognetta Individual Corporate OfficerBoard Member Aug 23, 2024
Nicole Newton Individual Corporate OfficerBoard Member Mar 1, 2025
Thomas Zachary Individual Contracted Managing EmployeeCfo Feb 27, 2026
Corporate OfficerCfo Feb 27, 2026
Mark Butler Individual Corporate OfficerBoard Member Nov 23, 2024
Melinda Denson Individual Corporate OfficerBoard Member Jan 1, 2026
Tania Sanchez Cortez Individual Corporate OfficerBoard Member Jan 1, 2026
David C Thorson Individual Corporate OfficerCmo May 15, 2023
W-2 Managing EmployeeMD; May 15, 2023
Stephen Gumnit Individual Corporate DirectorBoard Member Nov 1, 2020
Ahmed Hassan Individual Corporate OfficerBoard Member Jan 1, 2026
Sara Torres Individual Corporate OfficerCeo Jan 1, 2025
W-2 Managing EmployeeCeo Jan 1, 2025
Lisa Krocak Individual Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1851300149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023828",
            "telephone_number": "517-589-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023828",
            "telephone_number": "651-758-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FAMILY PRACTICE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "ZACHARY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-758-9500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA398",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "282M2UN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "98256",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620943200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB2459",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "164690",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverland Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.