Organization
COMMUNITY CARE CLINICS OF MINNESOTA - MHI BUILDING OFFICE
Active
Parent organization
COMMUNITY CARE CLINICS OF MINNESOTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE CLINICS OF MINNESOTA
Authorized official
DR. ROBERT LARBI-ODAM MD (CEO)
(952) 228-0420
Entity
Organization
Contact information
Practice address
1000 S BENTON DR UNIT 421, SAUK RAPIDS, MN 56379-1419
(952) 228-0420
(612) 872-8880
Mailing address
1000 S BENTON DR UNIT 421, SAUK RAPIDS, MN 56379-1419
(952) 228-0420
(612) 872-8880
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
07/06/2023
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