Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVAX LLC
Active OrganizationPROVAX LLC is a Community Health Center organization located in CHANHASSEN, Minnesota. NPI 1619202934 is currently active in the NPPES registry. Verify at CMS.
Community Health Center · CHANHASSEN, MN
Registration Details
- NPI Number
- 1619202934
- Provider Type
- Organization
- NPI Issued
- Oct 5, 2009 (16.892835378556 yrs)
- Last Updated
- Oct 5, 2009
- License
-
R106374-5 (MN)
Practice Information
- Address
-
2018 STONE CREEK DRCHANHASSEN, MN, 553177410Browse MN providers · Browse ZIP 55317
- Phone
- 9524706005
- Primary Specialty
-
Community Health Center
261QC1500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.