Organization
VILLAGE COMMUNITY CLINIC INC
Active
Other names
Village Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON NOLA MD (OWNER)
(316) 208-1871
Entity
Organization
Contact information
Practice address
1001 JOHNSON PKWY STE A1, SAINT PAUL, MN 55106-3655
(651) 321-8856
Mailing address
1001 JOHNSON PKWY STE A2, SAINT PAUL, MN 55106-3655
(651) 560-2010
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
05/22/2024
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