Active NPI
Minnesota Healthcare Services LLC
- Clinic/Center
- Edina, MN
National Provider Identifier
1629832829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MINNESOTA HEALTHCARE SERVICES LLC
- Practice address
- 7400 Metro Blvd # 100-5
Edina, MN 55439-2316 - Phone
- (612) 460-5094
- NPI assigned
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdisalan Dirsh
- Title
- Owner
- Phone
- (612) 460-5094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
7400 Metro Blvd # 100-5
Edina, MN 55439-2316
Mailing address
7400 Metro Blvd # 100-5
Edina, MN 55439-2316
National Provider Directory
National Provider DirectoryLocations
7400 Metro Blvd
#1005
Edina, MN 55439
Phone (612) 460-5094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1629832829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 METRO BLVD # 100-5",
"city": "EDINA",
"state": "MN",
"postal_code": "554392316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 METRO BLVD # 100-5",
"city": "EDINA",
"state": "MN",
"postal_code": "554392316",
"telephone_number": "612-460-5094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNESOTA HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "DIRSH",
"authorized_official_first_name": "ABDISALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-460-5094"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
- Minnesota Anesthesia Specialty Services
- Minnesota Community Acupuncture-Edina, Inc.
- Minnesota Disc Institute, PA
- Minnesota Disc Replacement and Spine Restoration Center
- Minnesota Gynecology & Surgery
- Minnesota Heart Clinic, P.a.
- Minnesota Neurorehabilitation Institute, PLLC
- Minnesota Oncology Hematology, PA
- Minnesota Oncology Hematology, PA
- Minnesota Oncology Hematology, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.