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COMMUNITY CARE CLINICS OF MINNESOTA
NPI 1417438169
Clinic/Center - Primary Care in Minneapolis, MN

Active since August 21, 2018
2015 CHICAGO AVE, MINNEAPOLIS, MN 55404(952) 228-0420(612) 345-4191 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Mar 29, 2021, Dec 12, 2018 and 1 more (4 updates tracked since 2018).

About Community Care Clinics Of Minnesota NPPES

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

COMMUNITY CARE CLINICS OF MINNESOTA (NPI 1417438169) is a healthcare organization registered as a primary care in Minneapolis, Minnesota and active in the NPI registry since August 2018. The organization lists Robert Larbi-odam, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1417438169
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOMMUNITY CARE CLINICS OF MINNESOTA
Location Address2015 CHICAGO AVEMinneapolis, MN 55404-2813
Mailing Address2015 Chicago AveMinneapolis, MN 55404-2813 · (952) 228-0420 · Fax (612) 345-4191
Phone(952) 228-0420
Fax(612) 345-4191
Organization SubpartNo
Authorized OfficialRobert Larbi-odamChief Executive Officer · (952) 228-0420
Enumeration DateAugust 21, 2018
Last NPPES UpdateJuly 6, 20234 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1417438169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
2015 CHICAGO AVE, Minneapolis, MN 55404
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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.

ODAM COMMUNITY CLINICS
Clinic/Center (Primary Care)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (763) 285-4916
DR. NASRA H GIAMA DNP, WHNP
Nurse Practitioner (Women's Health)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 315-2858
INSPIRE CHANGE CLINIC
Clinic/Center (Primary Care)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 987-4505

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 Community Care Clinics Of Minnesota's NPI number?

The NPI number for Community Care Clinics Of Minnesota is 1417438169. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Community Care Clinics Of Minnesota located?

Community Care Clinics Of Minnesota is located at 2015 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (952) 228-0420.

What is Community Care Clinics Of Minnesota's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Community Care Clinics Of Minnesota was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.