| Hayat Clinic PLLC | |
|
3405 3rd St N Saint Cloud MN 56303-4015 | |
| (320) 774-1041 | |
| (320) 774-1049 |
| Full Name | Hayat Clinic PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3405 3rd St N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Bashir Moallin (OWNER) |
| Authorized Official Contact | 3207741041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayat Clinic PLLC 3405 3rd St N Saint Cloud MN 56303-4015 Ph: (320) 774-1041 | Hayat Clinic PLLC 3405 3rd St N Saint Cloud MN 56303-4015 Ph: (320) 774-1041 |
| NPI Number | 1083489272 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 04/06/2025 |
| Certification Date | 04/06/2025 |
| Medicare PECOS PAC ID | 4183063175 |
|---|---|
| Medicare Enrollment ID | O20240424000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083489272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Liaqat a Sabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083659288 PECOS PAC ID: 6901893270 Enrollment ID: I20040428000957 |
| Provider Name | Faisa Hassan Abdi-omar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467006700 PECOS PAC ID: 7911339866 Enrollment ID: I20191114000197 |
| Provider Name | Bashir S Moallin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144840463 PECOS PAC ID: 6608299821 Enrollment ID: I20220510002368 |
| Provider Name | Anne Wambui Tuoy-giel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114743911 PECOS PAC ID: 9335675867 Enrollment ID: I20241209000254 |
| Provider Name | Anisaa Husein Ali |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477238194 PECOS PAC ID: 1456866797 Enrollment ID: I20250715002834 |
| Provider Name | Salma Jama Mohamud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891686507 PECOS PAC ID: 7517451743 Enrollment ID: I20251215001584 |
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