NPIMap

Organization Active NPI

Crown Medical Center

  • Health Service Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1588916282
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
209405-6 Issued in MN
Legal business name
CROWN MEDICAL CENTER
Practice address
1925 1St Ave S
Minneapolis, MN 55403-3724
Phone
(612) 871-4354
Fax
(612) 872-4343
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Joyce Ihioma Onyekaba, M.D
Title
Director
Phone
(612) 978-3783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 209405-6 MN Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

1925 1St Ave S
Minneapolis, MN 55403-3724

Mailing address

1925 1St Ave S
Minneapolis, MN 55403-3724
Phone (612) 871-4354

Other identifiers 1

IdentifierTypeStateIssuer
A)41153OtherMNMHP

National Provider Directory

National Provider Directory
Tax ID family
Crown Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1588916282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033724",
            "telephone_number": "612-871-4354",
            "fax_number": "612-872-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033724",
            "telephone_number": "612-871-4354",
            "fax_number": "612-872-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "ONYEKABA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "IHIOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-978-3783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "209405-6",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "A)41153",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 2012; 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.