Active NPI
Queer Care Clinic PLC
- Primary Care Clinic/Center
- Saint Paul, MN
National Provider Identifier
1215762919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.