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CEDAR LAKE COMMUNITY CLINIC PA
NPI 1649582669
Family Medicine in Minneapolis, MN

Active since July 07, 2010
1831 E LAKE ST, MINNEAPOLIS, MN 55407(612) 276-1000(612) 729-1885 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedar Lake Community Clinic Pa NPPES

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

CEDAR LAKE COMMUNITY CLINIC PA (NPI 1649582669) is a healthcare organization registered as a family medicine in Minneapolis, Minnesota and active in the NPI registry since July 2010. The organization lists Kristen L Coulter, President / Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649582669
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCEDAR LAKE COMMUNITY CLINIC PA
Location Address1831 E LAKE STMinneapolis, MN 55407-1809
Mailing Address1831 E Lake StMinneapolis, MN 55407-1809 · (612) 276-1000 · Fax (612) 729-1885
Phone(612) 276-1000
Fax(612) 729-1885
Organization SubpartNo
Authorized OfficialKristen L CoulterPresident / Medical Director · (612) 276-1000
Enumeration DateJuly 7, 2010
Last NPPES UpdateFebruary 1, 2011
✔ NPI 1649582669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedDentistTaxonomy 122300000X
Also ListedInternal MedicineTaxonomy 207R00000X
1831 E LAKE ST, Minneapolis, MN 55407
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KRISTEN LYNN COULTER MD
Family Medicine
1831 E LAKE ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 276-1000
CEDAR LAKE CLINIC
Clinic/Center (Health Service)
1831 E LAKE ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 276-1000

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 Cedar Lake Community Clinic PA's NPI number?

The NPI number for Cedar Lake Community Clinic PA is 1649582669. It was assigned to this organization in the NPPES registry on July 7, 2010.

Where is Cedar Lake Community Clinic PA located?

Cedar Lake Community Clinic PA is located at 1831 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 276-1000.

What is Cedar Lake Community Clinic PA'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 Cedar Lake Community Clinic PA was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.