DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAMILY HEALTHSERVICES MINNESOTA, P.A.

MEDICARE: FAMILY HEALTHSERVICES MINNESOTA, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician
2207Q00000XFamily Medicine Physician1428MN

General Provider Information

NPI Number : 1174703805
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTHSERVICES MINNESOTA, P.A.
Provider Business Mailing Address
First Line : 2025 SLOAN PL STE 35
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-2092
Country : US
Telephone Number : 651-772-1572
Fax Number : 651-772-1889
Provider Business Practice Location Address
First Line : 1385 PHALEN BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2126
Country : US
Telephone Number : 651-788-4444
Fax Number : 651-771-3978
Authorized Official
Title or Position : CAO
Name : KEN PALATTAO
Credential :
Telephone Number : 651-772-1572
Provider Enumeration Date : 11/09/2007
Last Update Date : 10/14/2025

Similar Medicare Providers

1740216340 — MS. ROBYN SAMIRA TABIBI MD
Practice Location Address:
1385 PHALEN BLVD
SAINT PAUL, MN
55106-2126
Practice Phone: 651-776-2719
Practice Fax: 651-771-3978
1326426818 — HAPPY HEALTH PLLC
Practice Location Address:
1385 PHALEN BLVD
SAINT PAUL, MN
55106-2126
Practice Phone: 612-819-0597
Practice Fax: 651-493-4221
1194199752 — MRS. SARA MARIE HUGOSON RN, NP
Practice Location Address:
1385 PHALEN BLVD
SAINT PAUL, MN
55106-2126
Practice Phone: 612-513-6694
Practice Fax: 651-493-4221
1821650771 — JASMINE KEYANTE HOSKINS
Practice Location Address:
1385 PHALEN BLVD
SAINT PAUL, MN
55106-2126
Practice Phone: 612-819-0597
Practice Fax: 651-493-4221
1215556998 — NOVACARE OUTPATIENT REHABILITATION EAST, INC.
Practice Location Address:
1387 PHALEN BOULEVARD
SAINT PAUL, MN
55106-2126
Practice Phone: 952-388-5520
Practice Fax: 952-388-2994
1003780875 — HAPPY HEALTH OF NEW JERSEY PC
Practice Location Address:
1385 PHALEN BLVD
SAINT PAUL, MN
55106-2126
Practice Phone: 512-866-1812
Practice Fax:

Directions to “FAMILY HEALTHSERVICES MINNESOTA, P.A. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.