HENNEPIN COUNTY NPI 1407373202

NPI Information

HENNEPIN COUNTY is a dental clinic center in Minneapolis, MN. HENNEPIN COUNTY NPI is 1407373202. The provider is registered as an organization entity type.
The provider Is Doing Business As Northpoint Workforce Dental Clinic.

The provider's business location address is:

800 W BROADWAY AVE
MINNEAPOLIS, MN
ZIP 55411-614
Phone: (612) 543-2900
Fax: (612) 288-2909

The provider's authorized official is Brian James Bergs .
The authorized official title is Cfo and has the following contact phone number (612) 543-2545.

The CLIA number assigned to this NPI record is 24D2130063 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 11/22/2017.

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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