Organization · Type 2 NPI

North Clinic, PA

Non-Pharmacy Dispensing Site · Osseo, MN

NPI number 1902043615 Active

Practice location

50 Central Ave
Osseo, MN 55369-1241

Call (763) 587-7900 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	27706 (MN)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

14 other providers at this address

NPI record

NPI: 1902043615
Entity type: Organization (Type 2)
Issued: Jan 16, 2009
Last updated: Dec 29, 2022
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

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North Clinic - Osseo · doing business as
North Clinic - Osseo · doing business as

Authorized official

Kenny Heine
Director of Operations
(858) 625-2990

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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 1902043615

North Clinic, PA's National Provider Identifier is 1902043615, issued on Jan 16, 2009. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Osseo, MN. The record was last updated on Dec 29, 2022.