NORTH MEMORIAL HEALTH CARE


Address: 5615 Xerxes Ave N, Suite D, Brooklyn Center, MN 55430-2819
Phone: 7635812273

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN PREFERREDONE NM1081 01
MN UCARE 111341 01
MN BCBS OF MINNESOTA 10B52NO 01

Other Provider/Organization Names

Other Name Type Code
North Memorial Health Clinic - Brooklyn Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5615 XERXES AVE N
SUITE D
City BROOKLYN CENTER
State MN
Zip Code 55430-2819

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City BROOKLYN CENTER
Zip Code 55430

Improve Information

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Dataset Information

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.

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