MEDICARE: ZION COMMUNITY SERVICES CORPORATION

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1861298499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION COMMUNITY SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	3800 AMERICAN BLVD W STE 1500
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55431-4429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5928 EWING AVE S
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55410
Country	:	US
Telephone Number	:	952-900-5026
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLASUNKANMI ADEDIRAN
Credential	:
Telephone Number	:	952-900-5026

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/04/2026

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Directions to “ZION COMMUNITY SERVICES CORPORATION ” Practice Location

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