MR. FONCHAM BUMA FONCHAM (NPI# 1801305131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801305131 |
| Entity Type | Individual |
| Full Name | MR. FONCHAM BUMA FONCHAM |
| Practice Address |
856 University Avenue, W St. Paul MN 55104 |
| Mailing Address |
856 University Ave W Saint Paul MN 55104-4807 |
| Practice Telephone | (651) 665-9795 |
| Practice Fax Number | 6516659796 |
| Mailing Telephone | 6516659795 |
| Mailing Fax Number | 6516659796 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
2456955 | MN | Nursing Service Providers |
| Street Address |
856 UNIVERSITY AVENUE, W |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| 1992238083 | Twin Cities Homecare Services LLC | Home Health | 393 N Dunlap St Suite 450h, Saint Paul, MN 55104 | 2017-04-06 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1902339419 | Kim Coleman | Registered Nurse | 346 Larpenteur Ave West, St. Paul, MN 55113 | 2017-04-11 |
| 1801271093 | Sandra Ann Davidson | Registered Nurse | 1919 University Ave. W., Ste 130, St. Paul, MN 55104 | 2015-07-29 |
| 1699174649 | Dani Jo Uphus | Registered Nurse | 1919 University Ave., Suite 130, St. Paul, MN 55104 | 2014-08-15 |
| 1114336468 | Amy Jo Shingledecker | Registered Nurse | 1919 University Ave., Suite 130, St. Paul, MN 55104 | 2014-08-11 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1104219153 | Toshia M Huston | Registered Nurse | 1919 University Ave, Ste 130, St. Paul, MN 55104 | 2015-03-16 |
| 1750774790 | Jill Marie Reaney | Registered Nurse | 1919 University Ave, Ste 130, St. Paul, MN 55104 | 2015-03-16 |
| 1477946424 | Timeka Beal | Registered Nurse | 1919 University Ave, Ste 130, St. Paul, MN 55104 | 2015-03-16 |
| 1306255278 | Ginger Celeste Gustafson | Registered Nurse | 1919 University Ave., Ste. 130, St. Paul, MN 55104 | 2014-08-05 |
| Find all providers in ST. PAUL | ||||
Please comment or provide details below to improve the information on MR. FONCHAM BUMA FONCHAM.
| 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.