COMMUNITY CARE CLINICS OF MINNESOTA - MHI BUILDING OFFICE (NPI# 1366915878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366915878 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CLINICS OF MINNESOTA - MHI BUILDING OFFICE |
| Practice Address |
920 E 28th St Ste Ll40 Minneapolis MN 55407-1192 |
| Mailing Address |
2800 Chicago Ave Ste Ll11 Minneapolis MN 55407-1392 |
| Practice Telephone | 9522280420 |
| Practice Fax Number | 6128728880 |
| Mailing Telephone | 9522880420 |
| Mailing Fax Number | 6128728880 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DR. ROBERT LARBI-ODAM (CEO) |
| Authorized Official Telephone | 9522280420 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE CLINICS OF MINNESOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
920 E 28TH ST STE LL40 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013401611 | Esther Danquah | Community Health Worker | 920 E 28th St Ste Ll40, Minneapolis, MN 55407-1139 | 2018-06-18 |
| 1891278693 | Selase Adzo Agudu-morgan | Registered Nurse | 920 E 28th St Ste Ll40, Minneapolis, MN 55407-1139 | 2018-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1396248225 | Wraparound House Calls, LLC | Clinic/Center | 4945 1st Ave S, Minneapolis, MN 55419-5605 | 2018-03-16 |
| 1154774925 | Hennepin County | Clinic/Center | 800 W Broadway Ave, Minneapolis, MN 55411-2614 | 2016-07-18 |
| 1467827733 | Global Translation & Interpreter LLC | Clinic/Center | 913 E Franklin Ave # 206, Minneapolis, MN 55404-2918 | 2015-12-11 |
| 1174950307 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 7101 Metro Blvd, Minneapolis, MN 55439-2117 | 2013-10-02 |
| 1962755108 | Cvc Minnesota Physicians, Pa | Clinic/Center | 730 2nd Ave S, Suite 295, Baker Center, Minneapolis, MN 55402-3400 | 2012-10-25 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1295960557 | Newsense, Ltd. | Clinic/Center | 1730 Clifton Pl, 111, Minneapolis, MN 55403-3242 | 2009-05-15 |
| 1124274527 | University of Minnesota Physicians | Clinic/Center | 901 Second St S, Suite A, Minneapolis, MN 55415 | 2008-08-18 |
| 1437345428 | Lakes Center for Chiropractic P.a. | Clinic/Center | 2526 Hennepin Ave S, Minneapolis, MN 55405-3564 | 2007-09-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on COMMUNITY CARE CLINICS OF MINNESOTA - MHI BUILDING OFFICE.
| 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.