Organization · Type 2 NPI

Hennepin County

Federally Qualified Health Center (FQHC) · Minneapolis, MN

NPI number 1700357779 Active

Practice location

2211 Clinton Ave
Minneapolis, MN 55404-3656

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 1700357779

Hennepin County's National Provider Identifier is 1700357779, issued on Dec 17, 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.