Cedar Lake Community Clinic PA
NPI 1649582669ActiveOrganization· Family Medicine· Minneapolis, MN
Family Medicine in Minneapolis, Minnesota, registered in NPPES in July 2010. The authorized official on file is Kristen L. Coulter, M.D., President / Medical Director.
Overview
| NPI | 1649582669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2010 |
| Last updated in NPPES | Feb 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Dentist | 122300000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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