Organization · Type 2 NPI

Hennepin County

Federally Qualified Health Center (FQHC) · Minneapolis, MN

NPI number 1528539624 Active

Practice location

740 East 17th Street
Minneapolis, MN 55404-1601

Call (612) 348-5553 Map

Fax (612) 677-6299

Mailing address

525 Portland Ave # MC963
Minneapolis, MN 55415-1533

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1528539624

Hennepin County's National Provider Identifier is 1528539624, issued on Dec 16, 2018. 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 Dec 19, 2018.