Healthcare Provider Details

I. General information

NPI: 1265379085
Provider Name (Legal Business Name): PRIMARY FUNCTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1284 CORPORATE CENTER DR STE 600
SAINT PAUL MN
55121-1279
US

IV. Provider business mailing address

1284 CORPORATE CENTER DR STE 600
SAINT PAUL MN
55121-1279
US

V. Phone/Fax

Practice location:
  • Phone: 507-403-7699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HELEN NANETTE MATSOFF
Title or Position: OWNER
Credential: OT
Phone: 507-403-7699