Crown Medical Support Services Clinic

LBN: Crown Medical Support Services Inc
Crown Medical Support Services Clinic is an health care organization with primary practice located at 1925 1St Ave S , Minneapolis MN 55403-3724. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Crown Medical Support Services Inc can be contacted via phone (612) 978-3783, or through Onyekaba, Joyce Ihioma via phone (612) 978-3783.

Contact Information

Primary practice address
1925 1St Ave S Minneapolis MN 55403-3724
Phone: (612) 978-3783
Fax: (612) 872-4343
Website:
Map and Directions
Authorized official contact:
Name: Onyekaba, Joyce Ihioma Doctor of Medicine (MD)
Phone: (612) 978-3783

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 36657 Minnesota

Profile Details

NPI number 1730546672
LBN Legal business name Crown Medical Support Services Inc
DBA Doing business as Crown Medical Support Services Clinic
Authorized official Onyekaba, Joyce Ihioma Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2016
Last updated Feb 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730546672 NPPES
Minnesota MEDICAID 957449200

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