Provider Demographics
NPI:1942674452
Name:NEW HORIZON URGENT CARE AND CLINIC LLC
Entity Type:Organization
Organization Name:NEW HORIZON URGENT CARE AND CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-396-3762
Mailing Address - Street 1:7809 SOUTHTOWN CTR
Mailing Address - Street 2:SUITE 343
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1324
Mailing Address - Country:US
Mailing Address - Phone:612-396-3762
Mailing Address - Fax:
Practice Address - Street 1:7809 SOUTHTOWN CTR
Practice Address - Street 2:SUITE 343
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1324
Practice Address - Country:US
Practice Address - Phone:612-396-3762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN827568000030261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care