OrganizationActive
Fridley Target Clinic
NPI 1457437907 · Primary Care Clinic/Center · Fridley, MN
Fridley Target Clinic is a Primary Care Clinic/Center organization in Fridley, MN (NPI 1457437907).
Provider details
- NPI number
- 1457437907
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Millicent Wanjohi, Physician Assistant(763) 571-9361
- License
- 935 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
755 53rd Ave Ne
Fridley, MN 55421-1240
Phone: (763) 571-9361
Street-level locationGet directions
Mailing address
12375 Oak Park Blvd Ne
Blaine, MN 55434-7302
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fridley Target Clinic's NPI number?
- Fridley Target Clinic's National Provider Identifier (NPI) is 1457437907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fridley Target Clinic?
- Fridley Target Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fridley Target Clinic located?
- Fridley Target Clinic's practice location on file with NPPES is 755 53rd Ave Ne, Fridley, MN 55421-1240.
- What is Fridley Target Clinic's phone number?
- The practice phone number listed in the NPPES registry for Fridley Target Clinic is (763) 571-9361.
- Who is the authorized official for Fridley Target Clinic?
- The authorized official listed on Fridley Target Clinic's NPPES record is Millicent Wanjohi, Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fridley Target Clinic's NPI active?
- Yes — Fridley Target Clinic's NPI (1457437907) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.