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Contact Information

EXCELLENCE COMMUNITY CLINIC CENTER
105 BLAKE RD N APT 206
HOPKINS
HOPKINS, MN55343-8266
 Phone: 562-606-8284
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for EXCELLENCE COMMUNITY CLINIC CENTER

NPI # 1073053997
LBN Legal business name EXCELLENCE COMMUNITY CLINIC CENTER
Authorized official ABDIQADIR HASSAN - (DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/24/2017
Last updated 02/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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