| Crown Medical Center | |
|
1925 1st Ave S Minneapolis MN 55403-3724 | |
| (612) 871-4354 | |
| (612) 672-4343 |
| Full Name | Crown Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1925 1st Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Chike Onyekaba (BUSINESS MANAGER) |
| Authorized Official Contact | 6128714354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Medical Center 1925 1st Ave S Minneapolis MN 55403-3724 Ph: (612) 871-4354 | Crown Medical Center 1925 1st Ave S Minneapolis MN 55403-3724 Ph: (612) 871-4354 |
| NPI Number | 1790747012 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790747012 | NPI | - | NPPES |
| 438R4CR | Other | MN | BLUES |
| 136548 | Other | MN | UCARE |
| 108584 | Other | MN | HEALTHPARTNERS |
| A044153 | Other | MN | METROPOLITAN HEALTH PLAN |
| 0407266 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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