Healthcare Provider Details

I. General information

NPI: 1376452292
Provider Name (Legal Business Name): FIRSTHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4465 158TH ST N
HUGO MN
55038-7101
US

IV. Provider business mailing address

4465 158TH ST N
HUGO MN
55038-7101
US

V. Phone/Fax

Practice location:
  • Phone: 651-235-0038
  • Fax:
Mailing address:
  • Phone: 651-235-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. OLALEKAN P OBADIYA
Title or Position: NURSE PRACTITIONER
Credential: C-NP
Phone: 651-235-0038