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HOPE MOBILE CLINIC
NPI 1407496219
Family Medicine in Minneapolis, MN

Active since January 09, 2020
200 W LAKE ST, MINNEAPOLIS, MN 55408(952) 219-2773 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2023, Jan 9, 2020 (2 updates tracked since 2020).

About Hope Mobile Clinic NPPES

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

HOPE MOBILE CLINIC (NPI 1407496219) is a healthcare organization registered as a family medicine in Minneapolis, Minnesota and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Brooklyn Center and lists Judith Wanyama, Provider, as its authorized official.

NPPES Registry Identity

NPI1407496219
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOPE MEDICAL CLINIC LLC
Location Address200 W LAKE STMinneapolis, MN 55408-3023
Mailing Address7325 Zane Ave NBrooklyn Park, MN 55443-3113 · (763) 377-2069
Phone(952) 219-2773
Organization SubpartYesParent: Hope Medical Clinic
Authorized OfficialJudith WanyamaProvider · (763) 377-2069
Enumeration DateJanuary 9, 2020
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1407496219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
200 W LAKE ST, Minneapolis, MN 55408
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Other Names 2

Doing Business AsHope Mobile Clinic
Former Legal Business NameHope Health Initiative

Secondary Practice Location 1

Location 16818 Humboldt Ave NBrooklyn Center, MN 55430-1536 · Phone (763) 377-2069

Other Providers at the Same Location NPPES 3

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

ANDREW RAYMOND MARJALA PHARMD
Pharmacist
200 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 827-8902
DEGA M MOHAMUD PHARMD
Pharmacist
200 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 827-8902
ASMAMAW ENYEW MENKIR PHARMACIST
Pharmacist
200 W LAKE ST
MINNEAPOLIS, MN 55408
Hennepin County (612) 827-8902

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 Hope Medical Clinic LLC's NPI number?

The NPI number for Hope Medical Clinic LLC is 1407496219. It was assigned to this organization in the NPPES registry on January 9, 2020. The provider is doing business as Hope Mobile Clinic. The provider was formerly known as Hope Health Initiative.

Where is Hope Medical Clinic LLC located?

Hope Medical Clinic LLC is located at 200 W Lake St, Minneapolis, MN 55408. The listed phone number is (952) 219-2773.

What is Hope Medical Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Hope Medical Clinic LLC was last updated on December 8, 2023. 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.