COMMUNITY CARE CLINICS OF MINNESOTA (NPI# 1417438169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417438169 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CLINICS OF MINNESOTA |
| Practice Address |
2800 Chicago Ave Ste 100 Minneapolis MN 55407 |
| Mailing Address |
2800 Chicago Ave Ste 100 Minneapolis MN 55407-1590 |
| Practice Telephone | 9522280420 |
| Mailing Telephone | 9522280420 |
| Mailing Fax Number | 6128728880 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | DR. ROBERT LARBI-ODAM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9529929305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053895235 | Community Care Clinics of Minnesota | Non-emergency Medical Transport (VAN) | 2800 Chicago Ave Ste Ll11, Minneapolis, MN 55407-1392 | 2018-09-24 |
| Street Address |
2800 CHICAGO AVE STE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742793 | Loren D Bosmans | Internal Medicine | 2800 Chicago Ave, Ste. 250, Minneapolis, MN 55407-1318 | 2005-12-28 |
| 1124516042 | Beverly Ann Sorensen | Social Worker | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2018-04-26 |
| 1174043608 | Allison J Z Levy | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1659891174 | Thomas V Williams | Internal Medicine | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1093235517 | Brynn E Weise | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1417477944 | Christopher C Spoke | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1841710696 | Paul T Abear | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-22 |
| 1699295568 | Ryan N Mello | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-22 |
| 1659805745 | Maggie Sarah Sortedahl-lopac | Physical Therapist | 2800 Chicago Ave, Suite 102, Minneapolis, MN 55407-1318 | 2017-04-14 |
| 1932646528 | Alison Michelle Kadletz | Nurse Practitioner | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-01-20 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1477934818 | North Memorial Health Care | Clinic/Center | 651 Nicollet Mall Ste 277, Minneapolis, MN 55402-1631 | 2015-06-11 |
| 1861621542 | Mitchell Pincus | Clinic/Center | 5120 France Ave S, Apt 203, Minneapolis, MN 55410-2022 | 2009-07-02 |
| 1558408161 | University of Minnesota Physicians | Clinic/Center | 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 | 2007-01-31 |
| 1255939716 | Kingsley Clinic of Minnesota, Pllc | Clinic/Center | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2020-10-15 |
| 1831601152 | House of Opportunity | Clinic/Center | 1813 S 6th St Ste 101, Minneapolis, MN 55454-1208 | 2017-10-26 |
| 1922510445 | Metro Social Services | Clinic/Center | 1813 S 6th St Ste 101, Minneapolis, MN 55454-1208 | 2017-10-25 |
| 1710428347 | Allina Health System | Clinic/Center | 9300 Noble Pkwy N, Minneapolis, MN 55443-5500 | 2017-03-15 |
| 1982158044 | Medical Care Innovation, P.C. | Clinic/Center | 1 General Mills Blvd, Quad Med, Minneapolis, MN 55426-1347 | 2016-08-06 |
| 1730586819 | University of Minnesota Physicians | Clinic/Center | 814 South 3rd St, Minneapolis, MN 55415 | 2014-12-04 |
| 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.
| 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.