Mina Medical Clinic Llc

LBN: Mina Medical Clinic Llc
Mina Medical Clinic Llc is an health care organization with primary practice located at 1690 Silver Lake Road Nw , New Brighton MN 55112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mina Medical Clinic Llc can be contacted via phone (612) 274-4380, or through Esse, Idiris via phone (612) 274-4380.

Contact Information

Primary practice address
1690 Silver Lake Road Nw New Brighton MN 55112
Fax:
Website:
Authorized official contact:
Name: Esse, Idiris Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1457088809
LBN Legal business name Mina Medical Clinic Llc
DBA Doing business as
Authorized official Esse, Idiris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2022
Last updated Aug 5th, 2022 - about 4 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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