Organization · Type 2 NPI

Neighborhood Healthsource

Federally Qualified Health Center (FQHC) · Coon Rapids, MN

NPI number 1659323459 Active

Practice location

10081 Dogwood St. NW, Suite 100
Coon Rapids, MN 55448

Call (612) 588-9411 Map

Fax (763) 783-7944

Mailing address

2301 Central Ave NE
Minneapolis, MN 55418

Specialties and licenses

Taxonomy	Code	License
General Practice Physician	208D00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

NPI record

NPI: 1659323459
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: Jun 29, 2023
Status: Active
Subpart: Yes of Neighborhood Healthsource

Other names

<unavail>
North Metro Clinic · doing business as

Authorized official

Mr. Steven Jay Knutson
Executive Director
(612) 287-2428

Verify this record

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 1659323459

Neighborhood Healthsource's National Provider Identifier is 1659323459, issued on May 17, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Coon Rapids, MN. The record was last updated on Jun 29, 2023.