| American Family Care | |
|
415 17th Ave N Ste 100 Hopkins MN 55343-7226 | |
| (952) 931-1276 | |
| Not Available |
| Full Name | American Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 17th Ave N Ste 100, Hopkins, Minnesota |
| Authorized Official Name and Position | Thomas Stevens (TREASURER) |
| Authorized Official Contact | 9529311276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Family Care Po Box 10417 Holyoke MA 01041-2017 Ph: () - | American Family Care 415 17th Ave N Ste 100 Hopkins MN 55343-7226 Ph: (952) 931-1276 |
| NPI Number | 1871265074 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 11/15/2021 |
| Medicare PECOS PAC ID | 8729461421 |
|---|---|
| Medicare Enrollment ID | O20220812001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871265074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Paul C Allegra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013030097 PECOS PAC ID: 8224136759 Enrollment ID: I20070607000273 |
| Provider Name | Claire Elizabeth Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740771088 PECOS PAC ID: 0547515306 Enrollment ID: I20180619001355 |
| Provider Name | Kelly K Frasier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821642323 PECOS PAC ID: 1850621467 Enrollment ID: I20190925000532 |
| Provider Name | Abigail Ann Baillif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295305662 PECOS PAC ID: 8729483946 Enrollment ID: I20210825002761 |
| Provider Name | Ashley Ferrara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326621731 PECOS PAC ID: 4981002185 Enrollment ID: I20211001000668 |
| Provider Name | Stephanie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944042 PECOS PAC ID: 7012300528 Enrollment ID: I20220204001853 |
| Provider Name | Brittany Ann Poff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235863044 PECOS PAC ID: 0648654905 Enrollment ID: I20220906000870 |
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