| United Family Practice Health Center Sibley Manor | |
|
1307 Maynard Dr W Suite 13 Saint Paul MN 55116-2930 | |
| (651) 699-2093 | |
| Not Available |
| Full Name | United Family Practice Health Center Sibley Manor |
|---|---|
| Speciality | Clinic/center |
| Location | 1307 Maynard Dr W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Ann Nyakundi (CEO) |
| Authorized Official Contact | 6512411084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Family Practice Health Center Sibley Manor 1026 7th St W Saint Paul MN 55102-3828 Ph: (651) 241-1000 | United Family Practice Health Center Sibley Manor 1307 Maynard Dr W Suite 13 Saint Paul MN 55116-2930 Ph: (651) 699-2093 |
| NPI Number | 1942384193 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942384193 | NPI | - | NPPES |
| NA398 | Other | MN | PREFERRED ONE |
| DB2459 | Other | MN | RAILROAD MEDICARE |
| 164690 | Other | MN | UCARE |
| 282M2UN | Other | MN | BLUE CROSS |
| 697442000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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