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

Community Care Clinics of Minnesota

Organization Clinic/Center · NPI 1417438169

Community Care Clinics of Minnesota is a Clinic/Center in Minneapolis, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2015 Chicago Ave
Minneapolis, MN 55404-2813
Phone: (952) 228-0420
Fax: (612) 345-4191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1417438169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Larbi-Odam — Chief Executive Officer · (952) 228-0420
NPI enumeratedAugust 21, 2018
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address2015 Chicago Ave, Minneapolis, MN 55404-2813

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