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MINA MEDICAL CLINIC LLC
NPI 1457088809
Clinic/Center in New Brighton, MN

Active since August 05, 2022
1690 SILVER LAKE ROAD NW, NEW BRIGHTON, MN 55112(612) 274-4380 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mina Medical Clinic Llc NPPES

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

MINA MEDICAL CLINIC LLC (NPI 1457088809) is a healthcare organization registered as a clinic/center in New Brighton, Minnesota and active in the NPI registry since August 2022. The organization lists Idiris Esse, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1457088809
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMINA MEDICAL CLINIC LLC
Location Address1690 SILVER LAKE ROAD NWNew Brighton, MN 55112
Mailing Address6417 Penn Ave S Ste 8Minneapolis, MN 55423-1196 · (612) 274-4380
Phone(612) 274-4380
Organization SubpartNo
Authorized OfficialIdiris EsseMedical Director · (612) 274-4380
Enumeration DateAugust 5, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1457088809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1690 SILVER LAKE ROAD NW, New Brighton, MN 55112
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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 Mina Medical Clinic LLC's NPI number?

The NPI number for Mina Medical Clinic LLC is 1457088809. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Mina Medical Clinic LLC located?

Mina Medical Clinic LLC is located at 1690 Silver Lake Road NW, New Brighton, MN 55112. The listed phone number is (612) 274-4380.

What is Mina Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mina Medical Clinic LLC was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.