NATIVE AMERICAN COMMUNITY CLINIC NPI 1184851115

NPI Information

NATIVE AMERICAN COMMUNITY CLINIC is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. NATIVE AMERICAN COMMUNITY CLINIC NPI is 1184851115. The provider is registered as an organization entity type.

The provider's business location address is:

1213 E FRANKLIN AVE
SUITE 201A
MINNEAPOLIS, MN
ZIP 55404-923
Phone: (612) 872-8086
Fax: (612) 872-8547

The provider's authorized official is Lydia Beth Caros .
The authorized official title is Executive Director and has the following contact phone number (612) 872-8086.

The CLIA number assigned to this NPI record is 24D1003005 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/17/2009 and was last updated on 6/17/2009.

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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