Organization Active NPI

Queer Care Clinic PLC

  • Primary Care Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1215762919
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
QUEER CARE CLINIC PLC
Practice address
385 Laurel Ave Apt 206
Saint Paul, MN 55102-2071
Phone
(651) 236-9901
NPI assigned
Sep 4, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael J Ronning, APRN CNP FNP-C
Title
Principal
Phone
(651) 236-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

385 Laurel Ave Apt 206
Saint Paul, MN 55102-2071

Mailing address

PO Box 21583
Saint Paul, MN 55121-0583
Phone (651) 236-9901

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1215762919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21583",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551210583",
            "telephone_number": "651-236-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 LAUREL AVE APT 206",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022071",
            "telephone_number": "651-236-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEER CARE CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RONNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "651-236-9901",
        "authorized_official_credential": "APRN CNP FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.