Organization Active NPI

Cham Clinic LLC

  • Family Nurse Practitioner
  • Fridley, MN
National Provider Identifier
1871191403
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Dec 2, 2025

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.