Provax LLC
Provax LLC is a healthcare organization registered as Community Health Clinic/Center in Chanhassen, MN, holding Type 2 (organization) NPI 1619202934 since 2009. The authorized official on file is Cindy Egelston, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619202934 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Provax LLC |
| Practice address | 2018 STONE CREEK DR, Chanhassen, MN, 55317 |
| Phone | 9524706005 |
| Enumeration date | 2009-10-05 |
| Last updated in NPPES | 2009-10-05 |
Authorized official
| Name | Cindy Egelston |
|---|---|
| Title | Owner |
| Phone | 9524706005 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QC1500X | Community Health Clinic/Center | Primary | R106374-5 | MN |
Copy-ready billing details
Provider: Provax LLC NPI: 1619202934 Taxonomy: 261QC1500X (Community Health Clinic/Center) Address: 2018 STONE CREEK DR, Chanhassen, MN, 55317
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144461914 | Cindy Egelston | Individual | Community Health Registered Nurse | Chanhassen, MN |
Verify this record
Cross-check NPI 1619202934 against the authoritative CMS record: view Provax LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Provax LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-10-05.