EDEN MEDICAL GROUP
NPI 1497517130
Clinic/Center - Primary Care in Blaine, MN

Active since January 29, 2024
2226 119TH AVE NE, BLAINE, MN 55449(612) 481-0603 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eden Medical Group NPPES

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

EDEN MEDICAL GROUP (NPI 1497517130) is a healthcare organization registered as a primary care in Blaine, Minnesota and active in the NPI registry since January 2024. The organization lists Nimo Osman Ahmed, Nursing Practitioner, as its authorized official.

NPPES Registry Identity

NPI1497517130
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEDEN MEDICAL GROUP
Location Address2226 119TH AVE NEBlaine, MN 55449-5440
Mailing Address2226 119th Ave NeBlaine, MN 55449-5440 · (612) 481-0603
Organization SubpartNo
Authorized OfficialNimo Osman AhmedNursing Practitioner · (612) 481-0603
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 28, 2024
NPI 1497517130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2226 119TH AVE NE, Blaine, MN 55449

Other Providers at the Same Location NPPES

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

Home Health
2226 119TH AVE NE
BLAINE, MN 55449

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 Eden Medical Group's NPI number?

The NPI number for Eden Medical Group is 1497517130. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Eden Medical Group located?

Eden Medical Group is located at 2226 119th Ave NE, Blaine, MN 55449. The listed phone number is (612) 481-0603.

What is Eden Medical Group'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 Eden Medical Group was last updated on January 29, 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.