Organization
ACTIONCARE COMMUNITY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAN ABUKAR (EXECUTIVE DIRECTOR)
(612) 458-6830
Entity
Organization
Contact information
Practice address
10584 FRANCE AVE S, BLOOMINGTON, MN 55431-3538
(612) 458-6830
Mailing address
10584 FRANCE AVE S, BLOOMINGTON, MN 55431-3538
(612) 666-6000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
10/22/2019
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