Provider Demographics
NPI:1215745062
Name:ACCESS CLINIC AND URGENT CARE
Entity type:Organization
Organization Name:ACCESS CLINIC AND URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:ADAN
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:614-961-2438
Mailing Address - Street 1:808 BERRY ST APT 446
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1094
Mailing Address - Country:US
Mailing Address - Phone:614-961-2438
Mailing Address - Fax:
Practice Address - Street 1:808 BERRY ST APT 446
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1094
Practice Address - Country:US
Practice Address - Phone:614-961-2438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care