| Medina Medical Clinic & Urgent Care | |
| 
					1516 E Lake St Ste 1512 Minneapolis MN 55407-1997  | |
| (651) 361-0029 | |
| Not Available | 
| Full Name | Medina Medical Clinic & Urgent Care | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1516 E Lake St Ste 1512, Minneapolis, Minnesota | 
| Authorized Official Name and Position | Ubah Ahmed Keynan (PROVIDER/MEDICAL DIRECTOR) | 
| Authorized Official Contact | 6122290285 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Medina Medical Clinic & Urgent Care 1516 E Lake Street Suit # 1512 Minneapolis MN 55407-1997 Ph: (612) 229-0285  | Medina Medical Clinic & Urgent Care 1516 E Lake St Ste 1512 Minneapolis MN 55407-1997 Ph: (651) 361-0029  | 
| NPI Number | 1457957383 | 
|---|---|
| Provider Enumeration Date | 12/07/2020 | 
| Last Update Date | 04/25/2024 | 
| Medicare PECOS PAC ID | 5294142550 | 
|---|---|
| Medicare Enrollment ID | O20210402000148 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457957383 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Zahra A Roble | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437506417 PECOS PAC ID: 0244527760 Enrollment ID: I20160928000188  | 
| Provider Name | Sadiya M Firin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1922641216 PECOS PAC ID: 0143638924 Enrollment ID: I20210415001041  | 
| Provider Name | Ubah Keynan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376212761 PECOS PAC ID: 4981061058 Enrollment ID: I20230605002131  | 
| Provider Name | Maryan H Garad | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255096384 PECOS PAC ID: 7315323771 Enrollment ID: I20230908002231  | 
| Provider Name | Michael Am Nyantaroka | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942857818 PECOS PAC ID: 8224464748 Enrollment ID: I20231024002925  | 
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921  | |
Group Health Plan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395  | |
Regents Of The University Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-677-3211  | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047  | |
Fairview Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115  | |
Ams Healing And Wellness Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Ofc U2-09, Minneapolis, MN 55401 Phone: 320-282-4023  | |
First Class Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 N 2nd St, Minneapolis, MN 55411 Phone: 952-270-5238  |