Minnesota Medical Services PLLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MINNESOTA MEDICAL SERVICES PLLC

Practice address

715 Florida Ave S
Suite 205
Golden Valley, MN 55426-1719

Phone

(612) 354-3360

Fax

(612) 315-4165

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Singh

Title

President

Phone

(612) 354-3360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1497157358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FLORIDA AVE S",
            "address_2": "SUITE 205",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261719",
            "telephone_number": "612-354-3360",
            "fax_number": "612-315-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FLORIDA AVE S",
            "address_2": "SUITE 205",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261719",
            "telephone_number": "612-354-3360",
            "fax_number": "612-315-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-354-3360"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Behavioral Resources LLC
• Minnesota Dental Implant Center (The Dental Implant Center)
• Minnesota Emergency Communications Team
• Minnesota Medical Imaging, LLC
• Minnesota Medical Imaging, LLC
• Filipa Miranda Dos Santos, DDS
• Sanjay K Mishra, MD
• Mitchell Senior Services LLC (Synergy HomeCare of Golden Valley)
• Lori Ann Mitchell, LICSW
• Jacqueline Ann Moeller, PSYD, LP

• Community Health Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.