INDIAN HEALTH BOARD OF MINNEAPOLIS INC ANISHINABE NPI 1043591357

NPI Information

INDIAN HEALTH BOARD OF MINNEAPOLIS, INC ANISHINABE is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. INDIAN HEALTH BOARD OF MINNEAPOLIS, INC ANISHINABE NPI is 1043591357. The provider is registered as an organization entity type.

The provider's business location address is:

3100 E 28TH ST
MINNEAPOLIS, MN
ZIP 55406-601
Phone: (612) 721-9800
Fax: (612) 721-7870

The provider's authorized official is Patrick Rock .
The authorized official title is Ceo and has the following contact phone number (612) 721-9800.

The CLIA number assigned to this NPI record is 24D0401355 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2011 and was last updated on 8/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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