Provider Demographics
NPI:1467717413
Name:MULTICULTURAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:MULTICULTURAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-987-1439
Mailing Address - Street 1:2330 CENTRAL AVE NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-3710
Mailing Address - Country:US
Mailing Address - Phone:612-781-1212
Mailing Address - Fax:612-781-5251
Practice Address - Street 1:2330 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-3710
Practice Address - Country:US
Practice Address - Phone:612-781-1212
Practice Address - Fax:612-781-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health