Cedar Lake Clinic
NPI 1619278579 · Health Service Clinic/Center · Minneapolis, MN
Cedar Lake Clinic is a Health Service Clinic/Center organization in Minneapolis, MN (NPI 1619278579).
Provider details
- NPI number
- 1619278579
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abdullahi Jama, Board Member(612) 276-1000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2010-11-09
- Last updated
- 2010-11-09
Frequently asked questions
- What is Cedar Lake Clinic's NPI number?
- Cedar Lake Clinic's National Provider Identifier (NPI) is 1619278579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Lake Clinic?
- Cedar Lake Clinic is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cedar Lake Clinic located?
- Cedar Lake Clinic's practice location on file with NPPES is 1831 E Lake St, Minneapolis, MN 55407-1809.
- What is Cedar Lake Clinic's phone number?
- The practice phone number listed in the NPPES registry for Cedar Lake Clinic is (612) 276-1000.
- Who is the authorized official for Cedar Lake Clinic?
- The authorized official listed on Cedar Lake Clinic's NPPES record is Abdullahi Jama, Board Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Lake Clinic's NPI active?
- Yes — Cedar Lake Clinic's NPI (1619278579) is active in the NPPES registry as of the last update on 2010-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.