ODAM COMMUNITY CLINICS NPI 1194437061

NPI Information

NPI: 1194437061
Provider Name: ODAM COMMUNITY CLINICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2015 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55404
Phone: (763) 285-4916
Get Directions

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	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
2	207RR0500X	Internal Medicine	Rheumatology	No
3	207V00000X	Obstetrics & Gynecology		No
4	208000000X	Pediatrics		No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	207K00000X	Allergy & Immunology		No
7	207Q00000X	Family Medicine		No
8	207R00000X	Internal Medicine		No
9	261QP2300X	Clinic/Center	Primary Care	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: 5/5/2024

NPI Synchronization or Removal

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