Primary Initiative Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIMARY INITIATIVE CARE LLC

Practice address

435 Pierce St NE
Minneapolis, MN 55413-2513

Phone

(612) 865-6626

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Waeis Elmi

Title

Owner

Phone

(612) 865-6626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1881418499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 PIERCE ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132513",
            "telephone_number": "612-865-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PIERCE ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132513",
            "telephone_number": "612-865-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY INITIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "WAEIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-865-6626"
    },
    "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 Nov 11, 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.