CROWN MEDICAL SUPPORT SERVICES INC NPI 1730546672

NPI Information

  • NPI: 1730546672
  • Provider Name: CROWN MEDICAL SUPPORT SERVICES INC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: CROWN MEDICAL SUPPORT SERVICES CLINIC
  • Address: 1925 1ST AVE S
    MINNEAPOLIS, MN
    ZIP 55403
  • Phone: (612) 978-3783

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NPI Details

CROWN MEDICAL SUPPORT SERVICES INC is a community health clinic center in Minneapolis, MN. CROWN MEDICAL SUPPORT SERVICES INC NPI is 1730546672. The provider is registered as an organization entity type.
The provider Is Doing Business As Crown Medical Support Services Clinic.

The provider's business location address is:

1925 1ST AVE S
MINNEAPOLIS, MN
ZIP 55403-724
Phone: (612) 978-3783
Fax: (612) 872-4343

The provider's authorized official is Joyce Ihioma Onyekaba .
The authorized official title is Medical Director and has the following contact phone number (612) 978-3783.

The enumeration date for this NPI number is 1/22/2016 and was last updated on 2/26/2024.

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
1261QC1500XClinic/CenterCommunity Health36657MINNESOTAYes

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
1957449200MEDICAIDMINNESOTA

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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