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MECCA MEDICAL CENTER, LLC
NPI 1336790864
Family Medicine in Marshall, MN

Active since September 25, 2019
309 E COLLEGE DR, MARSHALL, MN 56258(507) 530-6028 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 20, 2020, Sep 25, 2019 (2 updates tracked since 2019).

About Mecca Medical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MECCA MEDICAL CENTER, LLC (NPI 1336790864) is a healthcare organization registered as a family medicine in Marshall, Minnesota and active in the NPI registry since September 2019. The organization lists Idriss Ibrahim, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336790864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMECCA MEDICAL CENTER, LLC
Location Address309 E COLLEGE DRMarshall, MN 56258-2379
Mailing Address1120 Birch St Apt 2Marshall, MN 56258-1550
Phone(507) 530-6028
Organization SubpartNo
Authorized OfficialIdriss IbrahimMedical Director · (507) 530-6028
Enumeration DateSeptember 25, 2019
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
✔ NPI 1336790864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
309 E COLLEGE DR, Marshall, MN 56258
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDRISS IBRAHIM CNP
Family Medicine
309 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 530-6028

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 Mecca Medical Center, LLC's NPI number?

The NPI number for Mecca Medical Center, LLC is 1336790864. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Mecca Medical Center, LLC located?

Mecca Medical Center, LLC is located at 309 E College Dr, Marshall, MN 56258. The listed phone number is (507) 530-6028.

What is Mecca Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Mecca Medical Center, LLC accept?

Health plans from Medica list Mecca Medical Center, LLC 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 Mecca Medical Center, LLC was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.