Organization · Type 2 NPI

Hope Medical Clinic LLC

Family Medicine Physician · Minneapolis, MN

NPI number 1407496219 Active

Practice location

200 W Lake St
Minneapolis, MN 55408-3023

Call (952) 219-2773 Map

Mailing address

7325 Zane Ave N
Brooklyn Park, MN 55443-3113

Other practice locations

6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 · (763) 377-2069

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Primary Care Clinic/Center	261QP2300X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Minneapolis

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NPI record

NPI: 1407496219
Entity type: Organization (Type 2)
Issued: Jan 9, 2020
Last updated: Dec 8, 2023
Status: Active
Subpart: Yes of Hope Medical Clinic

Other names

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Hope Mobile Clinic · doing business as
Hope Health Initiative · former legal business name
Hope Mobile Clinic · former legal business name

Authorized official

Dr. Judith Wanyama, APRN, CNP
Provider
(763) 377-2069

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407496219

Hope Medical Clinic LLC's National Provider Identifier is 1407496219, issued on Jan 9, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 8, 2023.