Organization
PRIMECARE MIDWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDINAJIB IBRAHIM HUSSEIN (OWNER/GM)
(612) 876-6648
Entity
Organization
Contact information
Practice address
3601 PARK CENTER BLVD APT 605, MINNEAPOLIS, MN 55416-2562
(612) 876-6648
Mailing address
3601 PARK CENTER BLVD APT 605, MINNEAPOLIS, MN 55416-2562
(612) 876-6648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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