Village Community Clinic INC
NPI #1164175220 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1164175220
- Entity Type
- Organization
- Organization Name
- Village Community Clinic INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 29, 2022
- Last Updated
- May 22, 2024
Practice Location
- Address
- 1001 JOHNSON PKWY STE A1
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55106-3655
- Phone
- (651) 321-8856
Authorized Official
- Name
- RAMON NOLA, MD
- Title
- OWNER
- Phone
- (316) 208-1871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
| Clinic/Center - Primary Care — Primary Care |
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