NOBLE PARKWAY MEDICAL CLINIC PROFESSIONAL CORPORATION


Address: 4808 85th Ave North, Suite 300, Brooklyn Park, MN 55443
Phone: 7634961562

NOBLE PARKWAY MEDICAL CLINIC PROFESSIONAL CORPORATION (NPI# 1043556517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043556517
Entity Type Organization
Organization Name NOBLE PARKWAY MEDICAL CLINIC PROFESSIONAL CORPORATION
Practice Address 4808 85th Ave North
Suite 300
Brooklyn Park
MN 55443
Practice Telephone 7634961562
Practice Fax Number 7636570581
Mailing Telephone 7634961562
Mailing Fax Number 7636570581
Enumeration Date 2013-01-02
Last Update Date 2013-05-16
Authorized Official Name DR. TAJUDEEN O FAWOLE (CEO)
Authorized Official Telephone 7634961562
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 4808 85TH AVE NORTH
SUITE 300
City BROOKLYN PARK
State MN
Zip Code 55443

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770100521 El-lyon LLC Home Health 5501 88th Crescent North, Brooklyn Park, MN 55443 2020-06-28
1003431628 Mercy Tasiame Quentin Home Health 7310 Unity Lane North, Brooklyn Park, MN 55443 2020-06-09
1386279719 Andrew Sirlley Dogbe Nursing Care 8505 Xerxes Ln N, Brooklyn Park, MN 55443 2020-03-05
1952873630 Melkezedek Care LLC Home Health 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 2018-12-19
1487131330 Grand St Paul Cvs L L C Durable Medical Equipment & Medical Supplies 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 2018-07-24
1063901809 Patient Centered Home Care Services, LLC. Registered Nurse 4127 Sunset Ter N, Brooklyn Park, MN 55443 2018-05-08
1093233942 Ginni Ali Registered Nurse 7527 Yates Lane North, Brooklyn Park, MN 55443 2017-08-30
1437676335 Uplifted Care Services LLC Case Management 3301 84th Ave, Brooklyn Park, MN 55443 2017-08-23
1912447780 Zillah Mulubisha Nurse Practitioner Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 2017-02-27
1356898985 Abdul Kabba Driver 79oo Lad Parkway, Brooklyn Park, MN 55443 2016-09-01
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760905475 Patient Centered Care Clinic/Center 8240 Hampshire Ct N, Brooklyn Park, MN 55445 2017-07-25
1811923097 North Memorial Health Care Clinic/Center 8559 Edinbrook Pkwy, Suite 100, Brooklyn Park, MN 55443-3728 2006-06-23
1316473382 Assured Health LLC Clinic/Center 8421 W Broadway Ave, Brooklyn Park, MN 55445 2017-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003423252 Good Clinic Mn Pllc Clinic/Center 315 1st Ave Ne, Minneapolis, MN 55413-5001 2020-09-30
1407496219 Hope Health Initiative Clinic/Center 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 2020-01-09
1902392525 Odam Medical Group Clinic/Center 3405 3rd St N, Saint Cloud, MN 56303-4015 2018-07-06
1376041822 Piic Clinical Services Clinic/Center 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 2018-01-30
1740703339 Neopath Clinic/Center 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 2017-07-25
1720500309 Centracare Clinic Clinic/Center 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 2017-07-14
1881116747 Centracare Clinic Clinic/Center 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 2017-07-12
1558898387 Centracare Clinic Clinic/Center 161 Glen St., Ste 101, Foley, MN 56329 2017-05-11
1164958104 Centracare Clinic Clinic/Center 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 2017-05-11
1306388269 Quadmed Medical Clinics of Minnesota, P.C. Clinic/Center 9000 Plymouth Ave N, Golden Valley, MN 55427-3870 2016-11-09
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Competitor

Search similar providers

City BROOKLYN PARK
Zip Code 55443

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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