Organization Active NPI

MN UC Providers LTD

Doing business as American Family Care

  • Urgent Care Clinic/Center
  • Hopkins, MN
National Provider Identifier
1871265074
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MN UC PROVIDERS LTD
Doing business as
American Family Care
Practice address
415 17TH Ave N Ste 100
Hopkins, MN 55343-7226
Phone
(952) 931-1276
NPI assigned
Oct 5, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Thomas Stevens
Title
Treasurer
Phone
(952) 931-1276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

415 17TH Ave N Ste 100
Hopkins, MN 55343-7226

Mailing address

PO Box 10417
Holyoke, MA 01041-2017

Other names 1

  • American Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220812001558 MN Part B Supplier - Clinic/Group Practice 8729461421 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
Practice locations: Hopkins, MN; Maple Grove, MN

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
24D2262633MN UC Providers D/B/a Afc Urgent Care415 17TH Ave N Suite 100, Hopkins, MN 55343Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Locations

415 17th Ave N
Hopkins, MN 55343
Phone (952) 912-3553

415 17th Ave N
Ste 100
Hopkins, MN 55343
Phone (952) 931-1276

13540 Grove Dr N
Maple Grove, MN 55311
Phone (952) 931-1276

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1871265074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 17TH AVE N STE 100",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437226",
            "telephone_number": "952-931-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN UC PROVIDERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "952-931-1276"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.