Healthcare Provider Details

I. General information

NPI: 1225963218
Provider Name (Legal Business Name): FAMILYFIRST HEALTH CLINIC AND URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 E LAKE ST
MINNEAPOLIS MN
55407-5095
US

IV. Provider business mailing address

5437 154TH ST W
APPLE VALLEY MN
55124-3157
US

V. Phone/Fax

Practice location:
  • Phone: 207-440-9737
  • Fax:
Mailing address:
  • Phone: 207-440-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMED G FARAH
Title or Position: OWNER
Credential: FNP-BC
Phone: 207-440-9737