Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
ODAM MEDICAL GROUP
Active
Organization
ODAM MEDICAL GROUP
Active
Other names
ODAM MEDICAL GROUP - ST. CLOUD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LARBI-ODAM (CEO)
(612) 871-2312
Entity
Organization
Contact information
Practice address
1521 NORTHWAY DR STE 116, SAINT CLOUD, MN 56303-1274
(320) 774-3800
(320) 774-3360
Mailing address
1521 NORTHWAY DR STE 116, SAINT CLOUD, MN 56303-1274
(320) 774-3800
(320) 774-3360
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
07/06/2018
Last updated
03/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up