Healthcare Provider Details

I. General information

NPI: 1174416002
Provider Name (Legal Business Name): FOCUSPOINT PRIMARY AND URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1774 COPE AVE E STE 110
MAPLEWOOD MN
55109-2663
US

IV. Provider business mailing address

1774 COPE AVE E STE 110
MAPLEWOOD MN
55109-2663
US

V. Phone/Fax

Practice location:
  • Phone: 651-242-0220
  • Fax:
Mailing address:
  • Phone: 651-242-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES VANG
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 651-242-0220