UNIVERSAL MEDICAL SERVICES, INC (NPI# 1538726393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538726393 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL MEDICAL SERVICES, INC |
| Other Organization Name | DBA AXIS MEDICAL CENTER |
| Practice Address |
1 W Lake St Minneapolis MN 55408-3154 |
| Mailing Address |
1801 Nicollet Ave Minneapolis MN 55403-3791 |
| Practice Telephone | 6127671557 |
| Mailing Telephone | 6128232947 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | ZILLEHUMA EBRAHIM (CEO) |
| Authorized Official Telephone | 6122827492 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSAL MEDICAL SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1538726393 | 05 |
| Other Name | Type Code |
|---|---|
| AXIS Medical Center | Doing Business As Name - Organization |
| dba Axis Medical Center | Doing Business As Name - Organization |
| Street Address |
1 W LAKE ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487601316 | Jack Leon-max Mutnick | Allergy & Immunology | 1 W Lake St, Minneapolis, MN 55408-3154 | 2006-05-27 |
| 1033656053 | Mohamed Abdulle Farah | Clinic/Center | 1 W Lake St, Suite 125, Minneapolis, MN 55408-3154 | 2017-01-28 |
| 1073984902 | Focus Interpreter Service, LLC | Interpreter | 1 W Lake St, Suite 165, Minneapolis, MN 55408-3154 | 2015-10-19 |
| 1033547294 | Arthur Guzhagin | Chiropractor | 1 W Lake St, Suite 195, Minneapolis, MN 55408-3154 | 2013-10-28 |
| 1871872200 | Twin City Pain Center | Clinic/Center | 1 W Lake St, Minneapolis, MN 55408-3154 | 2011-08-16 |
| 1528354420 | Twin City Pain Center- West, Pllc | Anesthesiology | 1 W Lake St, Suite 195b, Minneapolis, MN 55408-3154 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
| 1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
| 1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
| 1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
| 1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
| 1841761954 | Hennepin County | Clinic/Center | 3111 First Ave. So., Minneapolis, MN 55408-2055 | 2018-12-16 |
| 1528539624 | Hennepin County | Clinic/Center | 740 East 17th Street, Minneapolis, MN 55404-1601 | 2018-12-16 |
| 1700237708 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave, Minneapolis, MN 55407-2125 | 2016-06-30 |
| 1083083752 | Hennepin County | Clinic/Center | 1015 4th Ave N, Suite 201, Minneapolis, MN 55405-1189 | 2015-09-23 |
| 1285952606 | Cedar Riverside People's Center | Clinic/Center | 2219 Chicago Ave, Minneapolis, MN 55404-3842 | 2010-05-10 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on UNIVERSAL MEDICAL SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.