NPIMap

Organization Active NPI

Cham Clinic

  • Urgent Care Clinic/Center
  • Fridley, MN
National Provider Identifier
1669182887
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CHAM CLINIC
Practice address
941 Hillwind Rd. Ste 100a
Fridley, MN 55432-5963
Phone
(763) 657-0569
Fax
(763) 762-6574
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Inas R Muhidine, FNPNPI 1952921769
Title
FNP, Owner
Phone
(763) 657-0569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

941 Hillwind Rd. Ste 100a
Fridley, MN 55432-5963

Mailing address

941 Hillwind Rd. Ste 100a
Fridley, MN 55432-5963
Phone (763) 657-0569

National Provider Directory

National Provider Directory

Locations

941 Hillwind Rd NE
Ste 100A
Fridley, MN 55432
Phone (763) 657-0569

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22840/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1669182887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 HILLWIND RD. STE 100A",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325963",
            "telephone_number": "763-657-0569",
            "fax_number": "763-762-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 HILLWIND RD. STE 100A",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325963",
            "telephone_number": "763-657-0569",
            "fax_number": "763-762-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MUHIDINE",
        "authorized_official_first_name": "INAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FNP, OWNER",
        "authorized_official_telephone_number": "763-657-0569",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.