NPIMap

Organization Active NPI

Piic Clinical Services

  • Primary Care Clinic/Center
  • Brooklyn Center, MN
National Provider Identifier
1376041822
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PIIC CLINICAL SERVICES
Practice address
6500 Humboldt Ave N
Brooklyn Center, MN 55430-1800
Phone
(763) 561-2120
Fax
(833) 972-1588
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Alethea Anderson
Title
Care Operations Manager
Phone
(612) 618-3647

Specialties & licenses 1

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

Addresses

Primary practice location

6500 Humboldt Ave N
Brooklyn Center, MN 55430-1800

Mailing address

6500 Humboldt Ave N
Brooklyn Center, MN 55430-1800

National Provider Directory

National Provider Directory
Tax ID family
Piic Clinical Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6500 Humboldt Ave N
Brooklyn Center, MN 55430
Phone (763) 561-2120

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1376041822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HUMBOLDT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HUMBOLDT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301800",
            "telephone_number": "763-561-2120",
            "fax_number": "833-972-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIIC CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "612-618-3647"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.