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CEDAR RIVERSIDE PEOPLE'S CENTER NPI 1548340813


NPI Information

NPI: 1548340813
Provider Name: CEDAR RIVERSIDE PEOPLE'S CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
425 20TH AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55454
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 1548340813. The provider is registered as an organization entity type.

The provider's business location address is:

425 20TH AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55454-400
Phone: (612) 332-4973
Fax: (612) 238-3534

The provider's authorized official is Raul Noriega .
The authorized official title is Dir. Of Hit And Billing and has the following contact phone number (612) 332-4973.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/7/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6075748MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1655853400MEDICAIDMINNESOTA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.