Cedar Lake Community Clinic Pa

LBN: Cedar Lake Community Clinic Pa
Cedar Lake Community Clinic Pa is an health care organization with primary practice located at 1831 E Lake St , Minneapolis MN 55407-1809. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Cedar Lake Community Clinic Pa can be contacted via phone (612) 276-1000, or through Coulter, Kristen L via phone (612) 276-1000.

Contact Information

Primary practice address
1831 E Lake St Minneapolis MN 55407-1809
Phone: (612) 276-1000
Fax: (612) 729-1885
Website:
Map and Directions
Authorized official contact:
Name: Coulter, Kristen L Doctor of Medicine (MD)
Phone: (612) 276-1000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1649582669
LBN Legal business name Cedar Lake Community Clinic Pa
DBA Doing business as
Authorized official Coulter, Kristen L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2010
Last updated Feb 1st, 2011 - about 13 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.

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