CROWN MEDICAL CENTER (NPI# 1588916282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588916282 |
Entity Type | Organization |
Organization Name | CROWN MEDICAL CENTER |
Practice Address |
1925 1st Ave S Minneapolis MN 55403-3724 |
Practice Telephone | 6128714354 |
Practice Fax Number | 6128724343 |
Mailing Telephone | 6128714354 |
Mailing Fax Number | 6128724343 |
Enumeration Date | 2012-10-05 |
Last Update Date | 2012-10-05 |
Authorized Official Name | DR. JOYCE IHIOMA ONYEKABA (DIRECTOR) |
Authorized Official Telephone | 6129783783 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
209405-6 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MHP | A)41153 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093992810 | Crown Medical Center | Point of Service | 7001 78th Ave N, Brooklyn Park, MN 55445-2783 | 2008-01-23 |
1790747012 | Crown Medical Center | Internal Medicine | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-04-03 |
Street Address |
1925 1ST AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55403-3724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790747012 | Crown Medical Center | Internal Medicine | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-04-03 |
1871034645 | Sarah Truso | Registered Nurse | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2017-03-13 |
1730546672 | Crown Medical Support Services | Clinic/Center | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2016-01-22 |
1538342241 | Crown Home Health Inc | Skilled Nursing Facility | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2007-12-17 |
1053496778 | Jamen Margaret Parkey | Physician Assistant | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-10-25 |
1912947599 | Crown Medical Center Inc. | Clinic/Center | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-06-08 |
1720045271 | Joyce Ihioma Onyekaba | Family Medicine | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-04-27 |
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 | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548802317 | Group Health Plan, Inc | Clinic/Center | 560 6th Ave N, Minneapolis, MN 55411-4332 | 2019-10-14 |
1992019103 | Midwest Chiropractic | Clinic/Center | 1305 E 24th St, Suite 1, Minneapolis, MN 55404-3927 | 2010-07-29 |
1285946186 | First Choice Chiropractic | Clinic/Center | 1214 W Lake St, Minneapolis, MN 55408-2761 | 2010-07-08 |
1568794675 | Kemet Circle | Clinic/Center | 1805 Girard Ave N, Minneapolis, MN 55411-3104 | 2010-02-01 |
1407027543 | Group Health Plan Inc. | Clinic/Center | 1250 W Broadway Ave # N160, Minneapolis, MN 55411-2533 | 2008-03-17 |
1285241075 | Pjg Medical L.L.C. | Clinic/Center | 4029 23rd Ave S, Minneapolis, MN 55407-3040 | 2020-09-25 |
1164082541 | Steady Path Healing LLC | Clinic/Center | 2937 Lyndale Ave S Ste 201, Minneapolis, MN 55408-2177 | 2019-06-18 |
1922589373 | American Current Care of Minnesota PC | Clinic/Center | 7550 34th Ave S, Minneapolis, MN 55450 | 2018-08-23 |
1427539881 | Occupational Health Centers of Minnesota PC | Clinic/Center | 7550 34th Ave S, Minneapolis, MN 55450-1124 | 2018-08-23 |
1477096451 | Twin Cities Vision Therapy Pa | Clinic/Center | 4999 France Ave S, Suite 140, Minneapolis, MN 55410-1703 | 2016-11-23 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55403 |
Please comment or provide details below to improve the information on CROWN MEDICAL CENTER.
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.