MEDICARE: NORTHSTAR HEALTH INITIATIVE

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	2083A0300X	Addiction Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1982546768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHSTAR HEALTH INITIATIVE

Provider Business Mailing Address
First Line	:	3012 CLINTON AVE STE 3
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3012 CLINTON AVE STE 3
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2421
Country	:	US
Telephone Number	:	320-228-7321
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RAHA ASHKIR
Credential	:
Telephone Number	:	320-228-7321

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

Similar Medicare Providers

1962181842 — ABDIHAKIN MOHAMED
Practice Location Address:

3012 CLINTON AVE STE 1A
MINNEAPOLIS, MN
55408-2421

Practice Phone: 612-715-6117
Practice Fax:

1518647270 — ABDULAZIM ALAAELDIN ELTIGANI
Practice Location Address:

3012 CLINTON AVE STE 1A
MINNEAPOLIS, MN
55408-2421

Practice Phone: 612-715-6117
Practice Fax:

1124806849 — ABDIRAHMAN MAHAMUD MAALIN
Practice Location Address:

3012 CLINTON AVE STE 1A
MINNEAPOLIS, MN
55408-2421

Practice Phone: 612-715-6117
Practice Fax:

1245198613 — FIRST STEP COMMUNITY SERVICES
Practice Location Address:

3012 CLINTON AVE STE 1
MINNEAPOLIS, MN
55408-2421

Practice Phone: 507-319-6581
Practice Fax:

1205941341 — SUPERVALU PHARMACIES INC
Practice Location Address:

5937 NICOLLET AVE
MINNEAPOLIS, MN
55419-2421

Practice Phone: 612-866-9921
Practice Fax: 612-866-9860

1801969654 — DR. JAMES LAWRENCE AYERS PH.D.
Practice Location Address:

2421 CHICAGO AVE , WALK-IN COUNSELING CENTER
MINNEAPOLIS, MN
55404-3845

Practice Phone: 612-870-0565
Practice Fax:

Directions to “NORTHSTAR HEALTH INITIATIVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.