Healthcare Provider Details

I. General information

NPI: 1912949512
Provider Name (Legal Business Name): HEALTH PARTNERS HLTH CTR FOR WOMEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 UNIVERSITY AVE W
SAINT PAUL MN
55114-1271
US

IV. Provider business mailing address

2635 UNIVERSITY AVE W
SAINT PAUL MN
55114-1271
US

V. Phone/Fax

Practice location:
  • Phone: 651-254-2992
  • Fax: 651-254-2977
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2624976
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRIS BOLTON
Title or Position: REGIONAL MANAGER
Credential:
Phone: 651-641-3156