VILLAGE COMMUNITY CLINIC
NPI 1164175220
Clinic/Center - Primary Care in Saint Paul, MN
About Village Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILLAGE COMMUNITY CLINIC (NPI 1164175220) is a healthcare organization registered as a primary care in Saint Paul, Minnesota and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Ramon Nola, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2258685
Village Community Clinic · Saint Paul, MNOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Village Community Clinic Inc's NPI number?
The NPI number for Village Community Clinic Inc is 1164175220. It was assigned to this organization in the NPPES registry on January 29, 2022. The provider is doing business as Village Community Clinic.
Where is Village Community Clinic Inc located?
Village Community Clinic Inc is located at 1001 Johnson Pkwy Ste A1, Saint Paul, MN 55106. The listed phone number is (651) 321-8856.
What is Village Community Clinic Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Village Community Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2258685) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Village Community Clinic Inc accept?
Health plans from Medica list Village Community Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Village Community Clinic Inc was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Village Community Clinic · NPI 1164175220
Primary Care organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since January 29, 2022.
## Identity
- **NPI:** 1164175220 (Entity type: Organization)
- **Enumerated:** January 29, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Village Community Clinic Inc
- **Organization subpart:** No
- **Authorized official:** Ramon Nola, OWNER
## Practice location
- **Address:** 1001 JOHNSON PKWY STE A1, Saint Paul, MN 55106-3655
- **Phone:** (651) 321-8856
## Record status
- **NPPES last updated:** May 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164175220) · Data from the CMS NPPES public registry.