Provax LLC
NPI 1619202934 · Community Health Clinic/Center · Chanhassen, MN
Provax LLC is a Community Health Clinic/Center organization in Chanhassen, MN (NPI 1619202934).
Provider details
- NPI number
- 1619202934
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cindy Egelston, Owner(952) 470-6005
- License
- R106374-5 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2009-10-05
Frequently asked questions
- What is Provax LLC's NPI number?
- Provax LLC's National Provider Identifier (NPI) is 1619202934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provax LLC?
- Provax LLC is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provax LLC located?
- Provax LLC's practice location on file with NPPES is 2018 Stone Creek Dr, Chanhassen, MN 55317-7410.
- What is Provax LLC's phone number?
- The practice phone number listed in the NPPES registry for Provax LLC is (952) 470-6005.
- Who is the authorized official for Provax LLC?
- The authorized official listed on Provax LLC's NPPES record is Cindy Egelston, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provax LLC's NPI active?
- Yes — Provax LLC's NPI (1619202934) is active in the NPPES registry as of the last update on 2009-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.