Excellence Community Clinic Center

NPI #1073053997 in Hopkins, Minnesota

Provider Information

NPI Number
1073053997
Entity Type
Organization
Organization Name
Excellence Community Clinic Center
Subpart
Yes (part of a larger organization)
Parent Organization
EXCELLENCE COMMUNITY CLINIC CENTER
Primary Specialty
Preferred Provider Organization
Enumeration Date
Feb 24, 2017
Last Updated
Feb 24, 2017

Practice Location

Address
105 BLAKE RD N APT 206
Address 2
HOPKINS
ZIP Code
55343-8266
Phone
(562) 606-8284

Authorized Official

Name
ABDIQADIR SALAD HASSAN
Title
DIRECTOR
Phone
(562) 606-8284

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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