| Multicultural Health Services Llc | |
|
2330 Central Ave Ne Minneapolis MN 55418-3710 | |
| (612) 781-1212 | |
| (612) 781-5251 |
| Full Name | Multicultural Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2330 Central Ave Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Suad Haji (CLINIC MANAGER) |
| Authorized Official Contact | 6129871439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Health Services Llc 2330 Central Ave Ne Minneapolis MN 55418-3710 Ph: (612) 781-1212 | Multicultural Health Services Llc 2330 Central Ave Ne Minneapolis MN 55418-3710 Ph: (612) 781-1212 |
| NPI Number | 1467717413 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 5496906729 |
|---|---|
| Medicare Enrollment ID | O20121115000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467717413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Juan Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033164165 PECOS PAC ID: 4385663624 Enrollment ID: I20060608000203 |
| Provider Name | Patrick R. Townley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154488740 PECOS PAC ID: 4082752175 Enrollment ID: I20091110000555 |
| Provider Name | Brenda K Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366797946 PECOS PAC ID: 2264677418 Enrollment ID: I20130318000491 |
| Provider Name | Tonara Ton Hing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801276621 PECOS PAC ID: 2365485257 Enrollment ID: I20150903002985 |
| Provider Name | Tegist Z Ayalew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972991354 PECOS PAC ID: 1759699580 Enrollment ID: I20150929000467 |
| Provider Name | Yaria I Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680836 PECOS PAC ID: 5698053346 Enrollment ID: I20161031001967 |
| Provider Name | Virginia Otey Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518583590 PECOS PAC ID: 0042639379 Enrollment ID: I20201006000705 |
| Provider Name | Naomi B Ongeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588312458 PECOS PAC ID: 1850775362 Enrollment ID: I20220901001877 |
| Provider Name | Emmanuela A Enyinnaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346958642 PECOS PAC ID: 6901278647 Enrollment ID: I20230207001388 |
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