Healthcare Provider Details

I. General information

NPI: 1073637468
Provider Name (Legal Business Name): UNITED HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 DATA PARK MN006-W600
MINNETONKA MN
55343-9026
US

IV. Provider business mailing address

9701 DATA PARK MN006-W600
MINNETONKA MN
55343-9026
US

V. Phone/Fax

Practice location:
  • Phone: 800-896-8936
  • Fax: 888-866-3209
Mailing address:
  • Phone: 800-896-8936
  • Fax: 888-866-3209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALLEN D MILLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 800-896-8936