AXIS MEDICAL CENTER (NPI# 1275999625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275999625 |
| Entity Type | Organization |
| Organization Name | AXIS MEDICAL CENTER |
| Other Organization Name | ALL SOMALI COMMUNITY OF MINNESOTA |
| Practice Address |
1801 Nicollet Ave Minneapolis MN 55403-3791 |
| Mailing Address |
Po Box 14746 Minneapolis MN 55414-0746 |
| Practice Telephone | 6122673622 |
| Mailing Telephone | 6122673622 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | OSMAN ABDI DAGANE (OWNER) |
| Authorized Official Telephone | 6122673622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | MN | Hospitals |
| Other Name | Type Code |
|---|---|
| ALL SOMALI COMMUNITY OF MINNESOTA | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AXIS MEDICAL CENTER | 1801 Nicollet Ave Ste 105, Minneapolis, MN 55403-3793 |
| Street Address |
1801 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55403-3791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778229 | Corby J Benson | Psychiatry & Neurology | 1801 Nicollet Ave, Nicollet Exchange II Building, Minneapolis, MN 55403-3791 | 2006-02-08 |
| 1528673779 | Hulda M Mosiori | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-14 |
| 1235743584 | Nicole Ji-hae Johnson | Clinical Nurse Specialist | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-03 |
| 1194344234 | Elise Mary Pesch | Registered Nurse | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-04-09 |
| 1235787409 | Tolu Okuneye | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1619525987 | Shafi Abdulle | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1942857818 | Michael Albert Maranga Nyantaroka | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-24 |
| 1205480522 | Catherine Lavergne | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403 | 2019-07-25 |
| 1245899285 | Gladys Ndip | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-06-12 |
| 1326522285 | Migmar Wangchuk | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
| 1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
| 1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
| 1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
| 1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
| 1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
| 1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
| 1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
| Find all providers in zip 55403 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255505558 | Minneapolis Veterans Affair Medical Center | Special Hospital | One Veterans Dr, Minneapolis, MN 55417 | 2008-04-17 |
| 1124214630 | Universal Medical Services Inc | Special Hospital | 1801 Nicollet Ave S, Suite 101, Minneapolis, MN 55403-3745 | 2007-09-18 |
| 1275842007 | Children's Hospital & Clinics of Mn | Special Hospital | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-09-28 |
| 1033422381 | The Children's Heart Clinic | Special Hospital | 2530 Chicago Ave, Suite 500, Minneapolis, MN 55404-4289 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437693298 | Minneapolis Heart Institute | Special Hospital | 501 Carlson Pkwy, Apartment 218, Minnetonka, MN 55305-5808 | 2016-12-14 |
| 1720486996 | South St Paul Animal Hospital | Special Hospital | 501 Concord St N, South Saint Paul, MN 55075-1112 | 2014-12-19 |
| 1679993901 | Veterinary Ophthalmology Specialty Practice Inc | Special Hospital | 4053 Highway 7, St Louis Park, MN 55416-4119 | 2014-04-25 |
| 1962685578 | Crocus Hill Oriental Medicine, LLC. | Special Hospital | 1032 Grand Ave, Saint Paul, MN 55105-3064 | 2007-12-06 |
| City | MINNEAPOLIS |
| Zip Code | 55403 |
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| 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.