Organization Active NPI

Urgent Amerikan Clinic

  • Urgent Care Clinic/Center
  • Saint Anthony, MN
National Provider Identifier
1821485939
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
51408 Issued in MN
Legal business name
URGENT AMERIKAN CLINIC
Practice address
3055 Old Highway 8 Ste LL25
Saint Anthony, MN 55418-2599
Phone
(651) 703-4508
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Ahmed Roble Mohamed, M.D.NPI 1326167792
Title
Medical Director
Phone
(651) 703-4508

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 51408 MN Primary

Addresses

Primary practice location

3055 Old Highway 8 Ste LL25
Saint Anthony, MN 55418-2599

Mailing address

3055 Old Highway 8 Ste LL25
Saint Anthony, MN 55418-2599
Phone (651) 703-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922000012 MN Part B Supplier - Clinic/Group Practice 3173830387 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

1508 E Franklin Ave
Ste 300
Minneapolis, MN 55404
Phone (612) 353-6720

3055 Old Highway 8
Ste LL25
Saint Anthony, MN 55418
Phone (651) 703-4508

393 Dunlap St N
Ste 231
Saint Paul, MN 55104
Phone (651) 644-8993

Practitioners & affiliated clinicians

Practitioners 2

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": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1821485939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE LL25",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182599",
            "telephone_number": "651-703-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE LL25",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182599",
            "telephone_number": "651-703-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT AMERIKAN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ROBLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "651-703-4508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MN",
            "license": "51408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.