CEDAR RIVERSIDE PEOPLE'S CENTER NPI 1780133983

NPI Information

NPI: 1780133983
Provider Name: CEDAR RIVERSIDE PEOPLE'S CENTER

Doing Business As: WELLSTONE DENTAL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3328 ELLIOT AVE S
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 332-4973
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CEDAR RIVERSIDE PEOPLE'S CENTER is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. CEDAR RIVERSIDE PEOPLE'S CENTER NPI is 1780133983. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellstone Dental Clinic.

The provider's business location address is:

3328 ELLIOT AVE S
MINNEAPOLIS, MN
ZIP 55407-125
Phone: (612) 332-4973

The provider's authorized official is Sahra Noor .
The authorized official title is Ceo and has the following contact phone number (612) 332-4973.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental		MINNESOTA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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