<unavail> in Minneapolis, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Minneapolis, Minnesota. The current practice location for is 3638 Central Ave Ne, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 345-5534. The mailing address for is 3638 Central Ave Ne, Minneapolis, Minnesota and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396395752. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (612) 345-5534.

Contact Information


	3638 Central Ave Ne Minneapolis MN 55418
	(612) 345-5534
	(612) 886-3929

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3638 Central Ave Ne, Minneapolis, Minnesota
Authorized Official Name and Position	Theodore James (CEO)
Authorized Official Contact	6128232947
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3638 Central Ave Ne Minneapolis MN 55418 Ph: () -	3638 Central Ave Ne Minneapolis MN 55418 Ph: (612) 345-5534

NPI Details:

NPI Number	1396395752
Provider Enumeration Date	09/18/2019
Last Update Date	02/26/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	9032283262
Medicare Enrollment ID	O20200501000660

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396395752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

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- Medicare Primary Care in Minneapolis, MN