NPI 1073053997

Excellence Community Clinic Center

Organisation Preferred Provider Organization Hopkins, MN

Practice location

Address: 105 Blake Rd N APT 206 Hopkins, Hopkins, MN 55343-8266
Phone: (562) 606-8284

Authorised official

Name: Abdiqadir Salad Hassan
Title: Director
Phone: (562) 606-8284

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Minnesota →

Registry record

NPI: 1073053997
Entity type: Organization
NPI issued: 24 Feb 2017
Record last updated: 24 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.