Active NPI
North Clinic, PA
Doing business as North Clinic - Osseo
- Non-Pharmacy Dispensing Site
- Osseo, MN
National Provider Identifier
1902043615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 27706
- Legal business name
- NORTH CLINIC, PA
- Doing business as
- North Clinic - Osseo
- Practice address
- 50 Central Ave
Osseo, MN 55369-1241 - Phone
- (763) 587-7900
- NPI assigned
- Jan 16, 2009
- Last updated
- Dec 29, 2022
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- Director of Operations
- Phone
- (858) 625-2990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 27706 | MN | Primary |
Addresses
Primary practice location
50 Central Ave
Osseo, MN 55369-1241
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names 1
- North Clinic - Osseo
National Provider Directory
National Provider Directory- Tax ID family
- North Clinic
- Part of
- Medvantx Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba North Clinic - Robbinsdale
- Non-Pharmacy Dispensing Site
- Crystal, MN
- NPI 1134374523
-
dba Voyage Healthcare
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672272000000",
"number": "1902043615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CENTRAL AVE",
"city": "OSSEO",
"state": "MN",
"postal_code": "553691241",
"telephone_number": "763-587-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CLINIC, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2009-01-16",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "858-625-2990"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "MN",
"license": "27706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Clinic - Osseo",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Clinic - Osseo",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Osseo, MN
- Jane Marie Murray, M.D.
- Neve Inc (Avada Audiology & Hearing Care)
- Krista Newman, LPCC
- Daniel E Noonan, MD
- North Clinic, PA (Voyage Healthcare)
- North Metro Orthotics and Prosthetics, Inc
- Northland Dental Partners, PLLC (Metro Dentalcare Osseo)
- Beuter Omariba
- Osseo Back and Neck Clinic, P.a. (Osseo Chiropractic Clinic)
- Osseo Clinic, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.