CEDAR LAKE COMMUNITY CLINIC PA
NPI 1649582669
Family Medicine in Minneapolis, MN

NPI Status: Active since July 07, 2010

Contact Information

1831 E LAKE ST
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 276-1000
Fax: (612) 729-1885

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  • Organization
  • Family Medicine

About CEDAR LAKE COMMUNITY CLINIC PA

This page provides the complete NPI Profile along with additional information for Cedar Lake Community Clinic Pa, a primary care provider established in Minneapolis, Minnesota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1649582669 assigned on July 2010. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Cedar Lake Community Clinic Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Kristen L Coulter M.d. (President / Medical Director)

NPI
1649582669
Provider Name
CEDAR LAKE COMMUNITY CLINIC PA
Entity Type
Organization
Location Address
1831 E LAKE ST MINNEAPOLIS, MN 55407
Location Phone
(612) 276-1000
Location Fax
(612) 729-1885
Mailing Address
1831 E LAKE ST MINNEAPOLIS, MN 55407
Mailing Phone
(612) 276-1000
Mailing Fax
(612) 729-1885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2010
Last Update Date
02-01-2011
Code Navigator

A primary care provider (PCP) like Cedar Lake Community Clinic Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KRISTEN L COULTER M.D.

Authorized Official Title
PRESIDENT / MEDICAL DIRECTOR
Authorized Official Phone
(612) 276-1000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649582669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891084612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 0 + 8 + 4 + 6 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1649582669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134397813 KRISTEN LYNN COULTER MD
Individual
Family Medicine1831 E LAKE ST
MINNEAPOLIS, MN 55407
(612) 276-1000
1619278579CEDAR LAKE CLINIC
Organization
Clinic/Center (Health Service)1831 E LAKE ST
MINNEAPOLIS, MN 55407
(612) 276-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649582669, enumerated in the NPI registry as an "organization" on July 07, 2010

The provider is located at 1831 E Lake St Minneapolis, Mn 55407 and the phone number is (612) 276-1000

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on July 07, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.