NPIMap

Organization Active NPI

Hawos Pca Service

  • Preferred Provider Organization
  • Minneapolis, MN
National Provider Identifier
1922486224
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
HAWOS PCA SERVICE
Practice address
3201 2ND Ave S
Minneapolis, MN 55408-3202
Phone
(612) 245-0470
NPI assigned
May 7, 2015
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Isse ElmiNPI 1649675869
Title
Director of Operations/Owner
Phone
(612) 232-7640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MN Primary

Addresses

Primary practice location

3201 2ND Ave S
Minneapolis, MN 55408-3202

Mailing address

3201 2ND Ave S
Minneapolis, MN 55408-3202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1922486224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 2ND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 2ND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083202",
            "telephone_number": "612-245-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWOS PCA SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "ISSE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/OWNER",
        "authorized_official_telephone_number": "612-232-7640"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.