Active NPI
Isuroon Specialty Care Clinic
- Community Health Clinic/Center
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- ISUROON SPECIALTY CARE CLINIC
- Practice address
- 1600 E Lake St
Minneapolis, MN 55407-1846 - Phone
- (612) 866-2731
- NPI assigned
- Jul 8, 2021
- Last updated
- Jul 8, 2021
- Organization subpart
- Yes
- Parent organization
- ISUROON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fartun Weli
- Title
- Executive Director
- Phone
- (612) 866-2731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
1600 E Lake St
Minneapolis, MN 55407-1846
Mailing address
1600 E Lake St
Minneapolis, MN 55407-1846
Phone (612) 866-2731
Other names 1
- Isuroon
National Provider Directory
National Provider Directory- Part of
- Isuroon
Locations
1600 E Lake St
Minneapolis, MN 55407
Phone (612) 866-2731
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Minneapolis, MN
- NPI 1861075558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1265003420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071846",
"telephone_number": "612-866-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071846",
"telephone_number": "612-866-2731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISUROON SPECIALTY CARE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ISUROON",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "WELI",
"authorized_official_first_name": "FARTUN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-866-2731"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Isuroon",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.