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Cedar Lake Community Clinic PA

Family Medicine Physician in Minneapolis, MN · enumerated 2010 · authorized official Kristen Coulter, President / Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649582669

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Registry record

Entity type Organization (Type 2)
Legal business name Cedar Lake Community Clinic PA
Practice address 1831 E Lake St, Minneapolis, MN, 55407
Phone (612) 276-1000
Fax (612) 729-1885
Enumeration date Jul 7, 2010
Last updated in NPPES Feb 1, 2011

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Kristen Coulter
Title President / Medical Director
Phone (612) 276-1000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Cedar Lake Community Clinic PA?
NPPES lists Kristen Coulter (President / Medical Director) as the authorized official for this organization.
What is the NPI number for Cedar Lake Community Clinic PA?
The NPI for Cedar Lake Community Clinic PA is 1649582669, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-01.