Communitybridge Solution Co

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMMUNITYBRIDGE SOLUTION CO

Practice address

201 3Rd Ave S Unit 16
Minneapolis, MN 55401-2524

Phone

(612) 513-9234

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Abdirisaaq Mohamed

Title

Director

Phone

(612) 513-9234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1780426767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 3RD AVE S APT 16",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 3RD AVE S UNIT 16",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012524",
            "telephone_number": "612-513-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYBRIDGE SOLUTION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIRISAAQ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-513-9234"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.