Active NPI
Cham Clinic LLC
- Family Nurse Practitioner
- Fridley, MN
National Provider Identifier
1871191403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CHAM CLINIC LLC
- Practice address
- 941 Hillwind Rd NE Ste 100a
Fridley, MN 55432-5963 - Phone
- (763) 657-0569
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Inas R Muhidine, NP
- Title
- Ceo
- Phone
- (612) 889-9344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
941 Hillwind Rd NE Ste 100a
Fridley, MN 55432-5963
Mailing address
941 Hillwind Rd NE Ste 100a
Fridley, MN 55432-5963
Phone (763) 657-0569
National Provider Directory
National Provider DirectoryLocations
7362 University Ave NE
Ste S20
Fridley, MN 55432
941 Hillwind Rd NE
Ste 100
Minneapolis, MN 55432
7362 University Ave NE
Bldg 206
Minneapolis, MN 55432
Phone (612) 571-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1871191403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 HILLWIND RD NE STE 100A",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325963",
"telephone_number": "763-657-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 HILLWIND RD NE STE 100A",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325963",
"telephone_number": "763-657-0569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAM CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-15",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "MUHIDINE",
"authorized_official_first_name": "INAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-889-9344",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.