NPI: 1811999162
Provider Name: INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Doing Business As: INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1315 E 24TH ST
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 721-9800
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INDIAN HEALTH BOARD OF MINNEAPOLIS, INC is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. INDIAN HEALTH BOARD OF MINNEAPOLIS, INC NPI is 1811999162. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Health Board Of Minneapolis, Inc.
The provider's business location address is:
1315 E 24TH ST
MINNEAPOLIS, MN
ZIP 55404-975
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) 721-9881.
The enumeration date for this NPI number is 6/1/2005 and was last updated on 1/19/2011.