CEDAR LAKE CLINIC NPI 1619278579

NPI Information

NPI: 1619278579
Provider Name: CEDAR LAKE CLINIC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1831 E LAKE ST
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 276-1000
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CEDAR LAKE CLINIC is a health service clinic center in Minneapolis, MN. CEDAR LAKE CLINIC NPI is 1619278579. The provider is registered as an organization entity type.

The provider's business location address is:

1831 E LAKE ST
MINNEAPOLIS, MN
ZIP 55407-809
Phone: (612) 276-1000
Fax: (612) 729-1885

The provider's authorized official is Abdullahi Jama .
The authorized official title is Board Member and has the following contact phone number (612) 276-1000.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 11/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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