Organization · Type 2 NPI

Hennepin County

Federally Qualified Health Center (FQHC) · Minneapolis, MN

NPI number 1972685568 Active

Practice location

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 1972685568

Hennepin County's National Provider Identifier is 1972685568, issued on Oct 20, 2006. 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 Jan 29, 2024.