COMMUNITY CARE CLINICS OF MINNESOTA (NPI# 1053895235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053895235 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CLINICS OF MINNESOTA |
| Practice Address |
2800 Chicago Ave Ste Ll11 Minneapolis MN 55407-1392 |
| Practice Telephone | 9522280420 |
| Practice Fax Number | 6128728880 |
| Mailing Telephone | 9522280420 |
| Mailing Fax Number | 6128728880 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | DR. ROBERT LARBI-ODAM (DIRECTOR) |
| Authorized Official Telephone | 9522280420 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE CLINICS OF MINNESOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| Community Care Clinics of Minnesota - Access Transportation Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438169 | Community Care Clinics of Minnesota | Clinic/Center | 2800 Chicago Ave, Ste 100, Minneapolis, MN 55407 | 2018-08-21 |
| Street Address |
2800 CHICAGO AVE STE LL11 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868680 | Mohamed A Mohamed | Non-emergency Medical Transport (VAN) | 2910 E Franklin Ave Apt 1011, Minneapolis, MN 55406-1140 | 2020-10-12 |
| 1912546938 | Etta Marie Riley | Non-emergency Medical Transport (VAN) | 3622 Penn Ave N, Minneapolis, MN 55412-1934 | 2019-12-23 |
| 1831734581 | Stable Care Services LLC | Non-emergency Medical Transport (VAN) | 2301 N 2nd St, Minneapolis, MN 55411-2208 | 2019-11-15 |
| 1710521703 | Allied Transportation LLC | Non-emergency Medical Transport (VAN) | 419 Cedar Ave S Ste 422, Minneapolis, MN 55454-1032 | 2019-11-01 |
| 1598309619 | Irsha Omer Elmi | Non-emergency Medical Transport (VAN) | 2222 Park Ave, Minneapolis, MN 55404-3710 | 2019-10-31 |
| 1619510583 | Taxiify, LLC | Non-emergency Medical Transport (VAN) | 6417 Penn Ave S Ste 9, Minneapolis, MN 55423-1196 | 2019-10-23 |
| 1124684931 | Dibad Medical Transportation | Non-emergency Medical Transport (VAN) | 2219 Oakland Ave Ste 11, Minneapolis, MN 55404-3749 | 2019-05-16 |
| 1336607233 | Southside Transportation LLC | Non-emergency Medical Transport (VAN) | 2940 Chicago Ave, Minneapolis, MN 55407-1322 | 2019-03-09 |
| 1578032850 | Axis Transportation LLC | Non-emergency Medical Transport (VAN) | 711 Queen Ave N, Minneapolis, MN 55411-3639 | 2018-11-16 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on COMMUNITY CARE CLINICS OF MINNESOTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.