Healthcare Provider Details

I. General information

NPI: 1467339622
Provider Name (Legal Business Name): UNITED FAMILY PRACTICE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 DELAWARE AVE
SAINT PAUL MN
55118-4338
US

IV. Provider business mailing address

1026 7TH ST W
SAINT PAUL MN
55102-3828
US

V. Phone/Fax

Practice location:
  • Phone: 651-758-9500
  • Fax:
Mailing address:
  • Phone: 651-758-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LORI ANN ZOOK
Title or Position: CFO
Credential:
Phone: 651-758-9500