MEDICARE: TRUEHEALTH CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1750218962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUEHEALTH CLINIC LLC

Provider Business Mailing Address
First Line	:	2593 HAMLINE AVE N UNIT A
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-3156
Country	:	US
Telephone Number	:	612-298-9736
Fax Number	:

Provider Business Practice Location Address
First Line	:	2593 HAMLINE AVE N UNIT A
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-3156
Country	:	US
Telephone Number	:	612-298-9736
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ZAHRA ALSHAMMRI
Credential	:	OWNER
Telephone Number	:	612-298-9736

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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