Mecca Medical Center, LLC
NPI 1336790864 · Family Medicine Physician · Marshall, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mecca Medical Center, LLC is a Family Medicine Physician organization in Marshall, MN (NPI 1336790864).
Provider details
- NPI number
- 1336790864
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Idriss Ibrahim, Medical Director(507) 530-6028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Frequently asked questions
- What is Mecca Medical Center, LLC's NPI number?
- Mecca Medical Center, LLC's National Provider Identifier (NPI) is 1336790864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mecca Medical Center, LLC?
- Mecca Medical Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mecca Medical Center, LLC located?
- Mecca Medical Center, LLC's practice location on file with NPPES is 309 E College Dr, Marshall, MN 56258-2379.
- What is Mecca Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mecca Medical Center, LLC is (507) 530-6028.
- Does Mecca Medical Center, LLC accept Medicare?
- Mecca Medical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mecca Medical Center, LLC?
- The authorized official listed on Mecca Medical Center, LLC's NPPES record is Idriss Ibrahim, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mecca Medical Center, LLC's NPI active?
- Yes — Mecca Medical Center, LLC's NPI (1336790864) is active in the NPPES registry as of the last update on 2020-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.