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CROWN MEDICAL 245G PROGRAM
NPI 1598451239
Clinic/Center - Primary Care in Minneapolis, MN

Active since April 14, 2023CLIA 24D1025128 · Waiver
1925 1ST AVE S, MINNEAPOLIS, MN 55403(612) 978-3783(612) 354-7719 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crown Medical 245g Program NPPES

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

CROWN MEDICAL 245G PROGRAM (NPI 1598451239) is a healthcare organization registered as a primary care in Minneapolis, Minnesota and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Chike Orizu Onyekaba, Programs Coordinator, as its authorized official.

NPPES Registry Identity

NPI1598451239
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCROWN MEDICAL SUPPORT SERVICES INC
Location Address1925 1ST AVE SMinneapolis, MN 55403-3724
Mailing Address1925 1st Ave SMinneapolis, MN 55403-3724 · (612) 978-3783 · Fax (612) 354-7719
Phone(612) 978-3783
Fax(612) 354-7719
Organization SubpartYesParent: 1730546672
Authorized OfficialChike Orizu OnyekabaPrograms Coordinator · (612) 871-4354
Enumeration DateApril 14, 2023
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1598451239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1925 1ST AVE S, Minneapolis, MN 55403
Open in Google Maps ↗

Other Names 1

Doing Business AsCrown Medical 245g Program

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1025128

Crown Medical Support Services Clinic · Minneapolis, MN
Active · expires Apr 28, 2028
CLIA Number24D1025128
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorJoyce I. Onyekaba
Laboratory Phone(612) 978-3783
Laboratory LocationCrown Medical Support Services Clinic1925 1st Avenue South, Minneapolis, MN 55437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

JAMEN MARGARET PARKEY PA-C, MPH
Physician Assistant
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 871-4354
CROWN HOME HEALTH INC
Skilled Nursing Facility
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 978-3783
CROWN MEDICAL CENTER
Clinic/Center (Health Service)
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 871-4354
JOHN THACKER PERKINS LADC
Counselor (Addiction (Substance Use Disorder))
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 472-9572
JOYCE IHIOMA ONYEKABA MD
Family Medicine
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 871-4354
CROWN MEDICAL SUPPORT SERVICES INC
Clinic/Center (Community Health)
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 978-3783
CROWN MEDICAL CENTER
Internal Medicine
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 871-4354
SARAH TRUSO APRN, CNP
Nurse Practitioner (Family)
1925 1ST AVE S
MINNEAPOLIS, MN 55403
Hennepin County (612) 871-4354

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 Crown Medical Support Services Inc's NPI number?

The NPI number for Crown Medical Support Services Inc is 1598451239. It was assigned to this organization in the NPPES registry on April 14, 2023. The provider is doing business as Crown Medical 245G Program.

Where is Crown Medical Support Services Inc located?

Crown Medical Support Services Inc is located at 1925 1st Ave S, Minneapolis, MN 55403. The listed phone number is (612) 978-3783.

What is Crown Medical Support Services Inc's specialty?

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

Does Crown Medical Support Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1025128) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crown Medical Support Services Inc was last updated on February 26, 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.