Advacare Medical Clinic Ltd

LBN: Advacare Medical Clinic Ltd
Advacare Medical Clinic Ltd is an health care organization with primary practice located at 5325 W 74Th St Ste 9 , Edina MN 55439-2212. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Genetics, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Advacare Medical Clinic Ltd can be contacted via phone (651) 354-6602, or through Ogato, David Makonde via phone (651) 354-6602.

Contact Information

Primary practice address
5325 W 74Th St Ste 9 Edina MN 55439-2212
Phone: (651) 354-6602
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ogato, David Makonde Certified Nurse Practitioner (CNP)
Phone: (651) 354-6602

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Genetics 261QG0250X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1578116786
LBN Legal business name Advacare Medical Clinic Ltd
DBA Doing business as
Authorized official Ogato, David Makonde Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers