Healthcare Provider Details

I. General information

NPI: 1568245397
Provider Name (Legal Business Name): ADVOCATE URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12643 FREMONT AVE
ZIMMERMAN MN
55398-9755
US

IV. Provider business mailing address

PO BOX 334
ZIMMERMAN MN
55398-0334
US

V. Phone/Fax

Practice location:
  • Phone: 763-260-4750
  • Fax: 763-482-5112
Mailing address:
  • Phone: 763-260-4750
  • Fax: 763-482-5112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: PAUL C ALLEGRA
Title or Position: OWNER
Credential:
Phone: 612-873-3000