ODAM COMMUNITY CLINICS NPI 1194437061

NPI Information

  • NPI: 1194437061
  • Provider Name: ODAM COMMUNITY CLINICS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2015 CHICAGO AVE
    MINNEAPOLIS, MN
    ZIP 55404
  • Phone: (763) 285-4916

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NPI Details

ODAM COMMUNITY CLINICS is a primary care clinic center in Minneapolis, MN. ODAM COMMUNITY CLINICS NPI is 1194437061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2015 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55404-813
Phone: (763) 285-4916
Fax: (612) 345-4191

The provider's authorized official is Robert Larbi-odam .
The authorized official title is Medical Director and has the following contact phone number (952) 228-0420.

The enumeration date for this NPI number is 12/21/2022 and was last updated on 3/31/2023.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RR0500XInternal MedicineRheumatologyNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6207K00000XAllergy & ImmunologyNo
7207Q00000XFamily MedicineNo
8207R00000XInternal MedicineNo
9261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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