Provider Demographics
NPI:1174416002
Name:FOCUSPOINT PRIMARY AND URGENT CARE PLLC
Entity type:Organization
Organization Name:FOCUSPOINT PRIMARY AND URGENT CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-242-0220
Mailing Address - Street 1:1774 COPE AVE E STE 110
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2663
Mailing Address - Country:US
Mailing Address - Phone:651-242-0220
Mailing Address - Fax:
Practice Address - Street 1:1774 COPE AVE E STE 110
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-2663
Practice Address - Country:US
Practice Address - Phone:651-242-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1457771750OtherNATIONAL PROVIDER IDENTIFIER (NPI)
MN1326305996OtherNATIONAL PROVIDER IDENTIFIER (NPI)