CROWN MEDICAL SUPPORT SERVICES (NPI# 1730546672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730546672 |
| Entity Type | Organization |
| Organization Name | CROWN MEDICAL SUPPORT SERVICES |
| Other Organization Name | CROWN MEDICAL SUPPORT SERVICES CLINIC |
| Practice Address |
1925 1st Ave S Minneapolis MN 55403-3724 |
| Practice Telephone | 6129783783 |
| Practice Fax Number | 6128724343 |
| Mailing Telephone | 6129783783 |
| Mailing Fax Number | 6128724343 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | DR. JOYCE IHIOMA ONYEKABA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6129783783 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
36657 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 957449200 | 05 |
| Other Name | Type Code |
|---|---|
| Crown Medical Support Services Clinic | Doing Business As Name - Organization |
| 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 |
| 1588916282 | Crown Medical Center | Nurse Practitioner | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2012-10-05 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831329564 | Phoenix Mental Health, P.l.c. | Clinic/Center | 2400 Blaisdell Ave Ste B2, Minneapolis, MN 55404-3394 | 2009-07-15 |
| 1194845883 | American Indian Community Development Corp | Clinic/Center | 1600 East 19th Street, Minneapolis, MN 55404 | 2007-03-29 |
| 1548340813 | Cedar Riverside People's Center | Clinic/Center | 425 20th Avenue South, Minneapolis, MN 55454-4400 | 2006-10-17 |
| 1467717413 | Multicultural Health Services LLC | Clinic/Center | 2330 Central Ave Ne, Minneapolis, MN 55418-3710 | 2012-07-05 |
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|---|---|---|---|---|
| 1316556434 | Geacom, Inc. | Clinic/Center | 394 S Lake Ave Ste 700, Duluth, MN 55802-2342 | 2020-07-24 |
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| 1396219259 | Kayd Foundation | Clinic/Center | 1821 University Ave W Ste 227, Saint Paul, MN 55104-2895 | 2019-01-14 |
| 1740798008 | Ace Medical Center, LLC | Clinic/Center | 10259 Englewood Dr, Eden Prairie, MN 55347-4623 | 2018-01-19 |
| 1770020489 | Centracare Clinic | Clinic/Center | 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 | 2017-01-20 |
| 1134574346 | Global International LLC | Clinic/Center | 1305 Larc Industrial Blvd, Burnsville, MN 55337-1411 | 2016-04-26 |
| 1437524998 | Amni Transportation Inc | Clinic/Center | 200 Nathan Ln N, 261, Plymouth, MN 55441-6461 | 2015-12-09 |
| 1386951317 | Myhealth for Teens & Young Adults | Clinic/Center | 15 Eighth Ave. S., Hopkins, MN 55343-7667 | 2010-09-13 |
| 1457356206 | St. Joseph's Area Health Services | Clinic/Center | 1415 1st St E, Park Rapids, MN 56470-1803 | 2005-06-17 |
| 1821646985 | Minor Medical Squad Pllc | Clinic/Center | 826 Trenton Ln N, Plymouth, MN 55441-4496 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
Please comment or provide details below to improve the information on CROWN MEDICAL SUPPORT SERVICES.
| 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.