Community Care Clinics of Minnesota - Mhi Building Office

NPI #1366915878 in Sauk Rapids, Minnesota

Provider Information

NPI Number: 1366915878
Entity Type: Organization
Organization Name: Community Care Clinics of Minnesota - Mhi Building Office
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY CARE CLINICS OF MINNESOTA
Primary Specialty: Clinic/Center
Enumeration Date: Jan 8, 2019
Last Updated: Jul 6, 2023

Practice Location

Address: 1000 S BENTON DR UNIT 421
City: Sauk Rapids
State: Minnesota
ZIP Code: 56379-1419
Phone: (952) 228-0420

Authorized Official

Name: DR. ROBERT LARBI-ODAM, MD
Title: CEO
Phone: (952) 228-0420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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