Healthcare Provider Details

I. General information

NPI: 1790673622
Provider Name (Legal Business Name): ACQUIRE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 W DIVISION ST
SAINT CLOUD MN
56301-4515
US

IV. Provider business mailing address

3026 15TH AVE S
SAINT CLOUD MN
56301-5688
US

V. Phone/Fax

Practice location:
  • Phone: 612-814-1064
  • Fax:
Mailing address:
  • Phone: 612-814-1064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YAHYE MOHAMUD
Title or Position: DIRECTOR
Credential:
Phone: 612-814-1064