NORTH MEMORIAL HEALTH CARE (NPI# 1548434053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548434053 |
Entity Type | Organization |
Organization Name | NORTH MEMORIAL HEALTH CARE |
Other Organization Name | NORTH MEMORIAL HEALTH CLINIC - BROOKLYN CENTER |
Practice Address |
5615 Xerxes Ave N Suite D Brooklyn Center MN 55430-2819 |
Mailing Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
Practice Telephone | 7635812273 |
Practice Fax Number | 7635815631 |
Mailing Telephone | 7635812273 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2020-10-14 |
Authorized Official Name | MR. DAN FROMM (VP, CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7635814614 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH MEMORIAL HEALTH CARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | PREFERREDONE | NM1081 | 01 |
MN | UCARE | 111341 | 01 |
MN | BCBS OF MINNESOTA | 10B52NO | 01 |
Other Name | Type Code |
---|---|
North Memorial Health Clinic - Brooklyn Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477934818 | North Memorial Health Care | Clinic/Center | 651 Nicollet Mall Ste 277, Minneapolis, MN 55402-1631 | 2015-06-11 |
1619364973 | North Memorial Health Care | Clinic/Center | 965 Prairie Center Dr, Eden Prairie, MN 55344-3671 | 2015-04-23 |
1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
1952732729 | North Memorial Health Care | Clinic/Center | 15450 Highway 7 Ste 100, Minnetonka, MN 55345-3522 | 2013-12-04 |
1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
1871715136 | North Memorial Health Care | Social Worker | 3366 Oakdale Ave N Ste 315, Robbinsdale, MN 55422-2967 | 2007-05-03 |
1437174810 | North Memorial Health Care | Hospice Care, Community Based | 3500 France Ave N, Suite 101, Robbinsdale, MN 55422-2809 | 2006-07-13 |
1558392852 | North Memorial Health Care | Clinic/Center | 9855 Hospital Dr Ste 102b, Maple Grove, MN 55369-5021 | 2006-07-05 |
1538195912 | North Memorial Health Care | Ambulance | 4501 68th Ave N, Brooklyn Center, MN 55429-1712 | 2006-06-25 |
1629004916 | North Memorial Health Care | Clinic/Center | 800 Freeport Ave Nw Ste 100, Elk River, MN 55330-2723 | 2006-06-25 |
Street Address |
5615 XERXES AVE N SUITE D |
City | BROOKLYN CENTER |
State | MN |
Zip Code | 55430-2819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138770 | Tammy M Danielson | Physician Assistant | 5615 Xerxes Ave N, Brooklyn Center, MN 55430 | 2019-01-22 |
1730356098 | Erik Stanley Haugland | Family Medicine | 5615 Xerxes Ave N, Suite D, Brooklyn Center, MN 55430-2819 | 2008-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
Find all providers in zip 55430 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
1306388269 | Quadmed Medical Clinics of Minnesota, P.C. | Clinic/Center | 9000 Plymouth Ave N, Golden Valley, MN 55427-3870 | 2016-11-09 |
1114471117 | Alexandria Industries Family Health & Wellness Clinic | Clinic/Center | 690 Voyager Dr, Suite 8, Alexandria, MN 56308-5295 | 2016-08-08 |
Find all providers with the same taxonomy |
City | BROOKLYN CENTER |
Zip Code | 55430 |
Please comment or provide details below to improve the information on NORTH MEMORIAL HEALTH CARE.
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.