Unknown Individual – Primary Care Clinic/Center, NPI 1073650677

Unknown Individual is a healthcare provider. based in Saint paul, Minnesota. specializing in Primary Care Clinic/Center. The NPI Number for Unknown Individual is 1073650677

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073650677
Phone
(651) 227-6551
Address
580 RICE STREET
Deactivation Date
20 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Bethesda Family Practice, 580, Rice Street, Frogtown, Saint Paul, Ramsey County, Minnesota, 55155, United States

    BETHESDA CLINIC

    SAINT PAUL, MN 55103

    Phone: (651) 227-6551

    Type: Location

  • 6300, Shingle Creek Parkway, Brooklyn Center, Hennepin County, Minnesota, 55430, United States

    STE 600

    BROOKLYN CENTER, MN 554302127

    Phone: (763) 782-6400

    Fax: (763) 782-9558

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55103)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1073650677 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Primary Care Clinic/Center is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Saint Paul, Minnesota may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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