Organization Active NPI

The People'S Health Care LLC

  • Clinic/Center
  • Otsego, MN
National Provider Identifier
1821755448
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE PEOPLE'S HEALTH CARE LLC
Practice address
7649 Palmgren Ave NE
Otsego, MN 55330-2688
Phone
(763) 267-3097
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Manfouo Madah
Title
Owner
Phone
(763) 267-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7649 Palmgren Ave NE
Otsego, MN 55330-2688

Mailing address

7649 Palmgren Ave NE
Otsego, MN 55330-2688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1821755448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 PALMGREN AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553302688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 PALMGREN AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553302688",
            "telephone_number": "763-267-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEOPLE'S HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "MADAH",
        "authorized_official_first_name": "MANFOUO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-267-3097"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.