NPIMap

Organization Active NPI

South Minneapolis Walk-in Clinic LLC

  • Urgent Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1730582156
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
1932 Issued in MN
Legal business name
SOUTH MINNEAPOLIS WALK-IN CLINIC LLC
Practice address
4727 Hiawatha Ave
Minneapolis, MN 55406-3928
Phone
(612) 205-9326
NPI assigned
Sep 30, 2014
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Abdullahi Abdi Hussein, PA-CNPI 1619376878
Title
Director
Phone
(612) 205-9326

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 1932 MN Primary

Addresses

Primary practice location

4727 Hiawatha Ave
Minneapolis, MN 55406-3928

Mailing address

4727 Hiawatha Ave S
Minneapolis, MN 55406
Phone (612) 205-9326

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b25ce83-fe52-4222-8ff2-02c9187687e9/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1730582156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 HIAWATHA AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-205-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063928",
            "telephone_number": "612-205-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MINNEAPOLIS WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-205-9326",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MN",
            "license": "1932",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2015; 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.