Kalthoum Mohamed

Individual provider Active NPI Community Health Worker · Saint Peter, MN

NPI 1407546112 · NPPES record last updated May 8, 2023

Key facts

NPI
1407546112
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
622 S Front St
Saint Peter, MN 56082-2106
Phone
(507) 934-7228
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
County of Nicollet Current
since May 14, 2023
Accepting new patients
County of Nicollet Current
since May 14, 2023
Accepting new patients

Locations

622 S Front St
Saint Peter, MN 56082
Phone (507) 934-8559

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

622 S Front St
Saint Peter, MN 56082-2106

Mailing address

161 Roosevelt Cir Apt 106
Mankato, MN 56001-5571
Phone (612) 720-2589

Other providers in Saint Peter, MN

All providers in Saint Peter, MN · Community Health Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.