Provider Demographics
NPI:1629944954
Name:AIM COMMUNITY HEALTH CLINIC LLC
Entity type:Organization
Organization Name:AIM COMMUNITY HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SADIK
Authorized Official - Middle Name:M
Authorized Official - Last Name:UGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-434-6703
Mailing Address - Street 1:2838 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2310
Mailing Address - Country:US
Mailing Address - Phone:612-333-6369
Mailing Address - Fax:
Practice Address - Street 1:2838 1ST AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2310
Practice Address - Country:US
Practice Address - Phone:612-450-6548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment