Organization · Type 2 NPI

Hennepin County

Federally Qualified Health Center (FQHC) · Minneapolis, MN

NPI number 1083083752 Active

Practice location

1015 4th Ave N, Suite 201
Minneapolis, MN 55405-1189

Call (612) 543-2545 Map

Fax (612) 302-4870

Mailing address

2220 Plymouth Ave N
Minneapolis, MN 55411-3600

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Open Circle Adult Day CenterAdult Day Care Clinic/Center Minneapolis, MN NPI 1992559157
Rose Betak Agbor, NPNurse Practitioner Minneapolis, MN NPI 1164966925

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NPI record

NPI: 1083083752
Entity type: Organization (Type 2)
Issued: Sep 23, 2015
Last updated: Apr 8, 2025
Status: Active
Subpart: Yes of Hennepin County

Other names

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Northpoint Health & Wellness Center- Heritage Park · doing business as

Authorized official

Baye D Diouf
Chief Financial Officer
(612) 543-2545

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083083752

Hennepin County's National Provider Identifier is 1083083752, issued on Sep 23, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 8, 2025.