Provider Demographics
NPI:1265115117
Name:METROPOLITAN HEALTH SERVICES LLC.
Entity type:Organization
Organization Name:METROPOLITAN HEALTH SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHADIJA
Authorized Official - Middle Name:ABDISAMED
Authorized Official - Last Name:YASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:SOCIAL WORKER LGSW
Authorized Official - Phone:612-999-3646
Mailing Address - Street 1:924 19TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2202
Mailing Address - Country:US
Mailing Address - Phone:612-999-3646
Mailing Address - Fax:
Practice Address - Street 1:924 19TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2202
Practice Address - Country:US
Practice Address - Phone:612-999-3646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)