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SEDRA MEDICAL CLINIC PLC
NPI 1972840064
Family Medicine in Thief River Falls, MN

Active since January 09, 2013CLIA 24D2169930 · Waiver
213 LABREE AVE N, SUITE #207, THIEF RIVER FALLS, MN 56701(218) 683-5137(218) 683-5413 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sedra Medical Clinic Plc NPPES

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

SEDRA MEDICAL CLINIC PLC (NPI 1972840064) is a healthcare organization registered as a family medicine in Thief River Falls, Minnesota and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Hazem Sedra, President, as its authorized official.

NPPES Registry Identity

NPI1972840064
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSEDRA MEDICAL CLINIC PLC
Location Address213 LABREE AVE N, SUITE #207Thief River Falls, MN 56701-2022
Mailing Address213 Labree Ave N, Suite #207Thief River Falls, MN 56701-2022 · (218) 683-5137 · Fax (218) 683-5413
Phone(218) 683-5137
Fax(218) 683-5413
Organization SubpartNo
Authorized OfficialHazem SedraPresident · (218) 683-5137
Enumeration DateJanuary 9, 2013
✔ NPI 1972840064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 47271
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.
213 LABREE AVE N, Thief River Falls, MN 56701
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Other Identifiers 4

Other1669408753MN · Individual Npi
Medicare PIN080016582MN
Medicare UPINIO3510MN
Medicaid590610500MN

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

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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 24D2169930

Sedra Medical Clinic Plc · Thief River Falls, MN
Active · expires Jul 29, 2027
CLIA Number24D2169930
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorHazem M. Sedra
Laboratory Phone(218) 683-5137
Laboratory LocationSedra Medical Clinic Plc213 Labree Ave N Suite # 207, Thief River Falls, MN 56701
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 4

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

EMILY JANE SCHUSTER ADC-T
Counselor (Addiction (Substance Use Disorder))
213 LABREE AVE N
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-5048
HEALTH QUEST FAMILY CHIROPRACTIC, LLC
Chiropractor
213 LABREE AVE N, SUITE 101
THIEF RIVER FALLS, MN 56701
Pennington County (701) 212-3294
GREAT NORTH ACUPUNCTURE LLC
Clinic/Center (Medical Specialty)
213 LABREE AVE N, SUITE 201
THIEF RIVER FALLS, MN 56701
Pennington County (218) 686-2151
DR. NANCY E RUST PHD
Psychologist (Clinical)
213 LABREE AVE N, SUITE 104
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-2718

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 Sedra Medical Clinic Plc's NPI number?

The NPI number for Sedra Medical Clinic Plc is 1972840064. It was assigned to this organization in the NPPES registry on January 9, 2013.

Where is Sedra Medical Clinic Plc located?

Sedra Medical Clinic Plc is located at 213 Labree Ave N Suite #207, Thief River Falls, MN 56701. The listed phone number is (218) 683-5137.

What is Sedra Medical Clinic Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sedra Medical Clinic Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2169930) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sedra Medical Clinic Plc accept?

Health plans from Medica and Sanford Health Plan list Sedra Medical Clinic Plc 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 Sedra Medical Clinic Plc was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.