Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

612 Mash Incorporated

Organization Clinic/Center · NPI 1578389946

612 Mash Incorporated is a Clinic/Center in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

730 E 38th St Ste 100
Minneapolis, MN 55407-5218
Phone: (612) 598-0338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1578389946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mable Fale — Executive Director · (320) 774-8694
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 1, 2024
Mailing address730 E 38th St Ste 100, Minneapolis, MN 55407-5218

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