CHAM CLINIC LLC
NPI 1871191403
Nurse Practitioner - Family in Fridley, MN

Active since October 15, 2020CLIA 24D2199398 · Waiver
941 HILLWIND RD NE STE 100A, FRIDLEY, MN 55432(763) 657-0569 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, May 16, 2024, Oct 15, 2020 (3 updates tracked since 2020).

About Cham Clinic Llc NPPES

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

CHAM CLINIC LLC (NPI 1871191403) is a healthcare organization registered as a family in Fridley, Minnesota and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Inas R Muhidine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871191403
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHAM CLINIC LLC
Location Address941 HILLWIND RD NE STE 100AFridley, MN 55432-5963
Mailing Address941 Hillwind Rd Ne Ste 100aFridley, MN 55432-5963 · (763) 657-0569
Organization SubpartNo
Authorized OfficialInas R MuhidineCeo · (612) 889-9344
Enumeration DateOctober 15, 2020
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1871191403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
941 HILLWIND RD NE STE 100A, Fridley, MN 55432

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 24D2199398

Cham Clinic LLC · Fridley, MN
Active · expires Nov 8, 2026
CLIA Number24D2199398
Laboratory TypeClinic
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorInas R. Muhidine
Laboratory Phone(612) 889-9344
Laboratory LocationCham Clinic LLC7362 University Ave NE Ste 206, Fridley, MN 55432
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
941 HILLWIND RD NE STE 100A
FRIDLEY, MN 55432

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 Cham Clinic LLC's NPI number?

The NPI number for Cham Clinic LLC is 1871191403. It was assigned to this organization in the NPPES registry on October 15, 2020.

Where is Cham Clinic LLC located?

Cham Clinic LLC is located at 941 Hillwind Rd NE Ste 100A, Fridley, MN 55432. The listed phone number is (763) 657-0569.

What is Cham Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Cham Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2199398) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cham Clinic LLC accept?

Health plans from HealthPartners and Medica list Cham Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cham Clinic LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.