NORTH MEMORIAL HEALTH CARE NPI 1548434053

NPI Information

NPI: 1548434053
Provider Name: NORTH MEMORIAL HEALTH CARE

Doing Business As: NORTH MEMORIAL HEALTH CLINIC - BROOKLYN CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5615 XERXES AVE N
SUITE D
BROOKLYN CENTER, MN
ZIP 55430
Phone: (763) 581-2273
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NORTH MEMORIAL HEALTH CARE is a primary care clinic center in Brooklyn Center, MN. NORTH MEMORIAL HEALTH CARE NPI is 1548434053. The provider is registered as an organization entity type.
The provider Is Doing Business As North Memorial Health Clinic - Brooklyn Center.

The provider's business location address is:

5615 XERXES AVE N
SUITE D
BROOKLYN CENTER, MN
ZIP 55430-819
Phone: (763) 581-2273
Fax: (763) 581-5631

The provider's authorized official is Dan Fromm .
The authorized official title is Vp, Chief Financial Officer and has the following contact phone number (763) 581-4614.

The CLIA number assigned to this NPI record is 24D0402364 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 9/3/2021.

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	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM1081	OTHER	MINNESOTA	PREFERREDONE
2	111341	OTHER	MINNESOTA	UCARE
3	10B52NO	OTHER	MINNESOTA	BCBS OF MINNESOTA

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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