NPIMap

Organization Active NPI

Crystal New Hope Medical Clinic

Doing business as New Hope Crystal Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Crystal, MN
National Provider Identifier
1740442581
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRYSTAL NEW HOPE MEDICAL CLINIC
Doing business as
New Hope Crystal Medical Clinic
Practice address
3501 Douglas Dr N
Crystal, MN 55422-2415
Phone
(763) 535-9601
Fax
(763) 535-5601
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Margaret Evens
Title
Office Manager
Phone
(763) 535-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3501 Douglas Dr N
Crystal, MN 55422-2415

Mailing address

3501 N Douglas Drive
Crystal, MN 55422
Phone (763) 535-9601

Other names 1

  • NEW HOPE CRYSTAL MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crystal New Hope Medical Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3501 Douglas Dr N
Minneapolis, MN 55422
Phone (763) 535-9601

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1740442581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N DOUGLAS DRIVE",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-535-9601",
            "fax_number": "763-535-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554222415",
            "telephone_number": "763-535-9601",
            "fax_number": "763-535-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL NEW HOPE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "EVENS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-535-9601"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW HOPE CRYSTAL MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.