ACE MEDICAL CENTER, LLC (NPI# 1740798008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740798008 |
| Entity Type | Organization |
| Organization Name | ACE MEDICAL CENTER, LLC |
| Practice Address |
10259 Englewood Dr Eden Prairie MN 55347-4623 |
| Mailing Address |
Po Box 44044 Eden Prairie MN 55344-1044 |
| Practice Telephone | 6174134952 |
| Mailing Telephone | 6174134952 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | REGINE W NDIFOR (ADMINISTRATOR) |
| Authorized Official Telephone | 6174134952 |
| Authorized Official Credential | CNP RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
3233 | MN | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
10259 ENGLEWOOD DR |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55347-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
| 1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
| 1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
| Find all providers in zip 55347 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619364973 | North Memorial Health Care | Clinic/Center | 965 Prairie Center Dr, Eden Prairie, MN 55344-3671 | 2015-04-23 |
| 1518141027 | Michael J Kennedy D.c., P.a. | Clinic/Center | 6409 City West Parkway, Suite 105, Eden Prairie, MN 55344 | 2007-12-19 |
| 1487798633 | All About Children Pediatrics | Clinic/Center | 12200 Middle Set Rd Ste 100, Eden Prairie, MN 55344-5420 | 2007-02-19 |
| 1336331297 | Fairview Clinics | Clinic/Center | 830 Prairie Center Dr, Eden Prairie, MN 55344-7301 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55347 |
Please comment or provide details below to improve the information on ACE MEDICAL CENTER, LLC.
| 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.