NEIGHBORHOOD HEALTHSOURCE NPI 1659323459

NPI Information

NPI: 1659323459
Provider Name: NEIGHBORHOOD HEALTHSOURCE
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: NORTH METRO CLINIC
CLIA Number: 24D0402086
Address: 10081 DOGWOOD ST. NW
SUITE 100
COON RAPIDS, MN
ZIP 55448
Phone: (612) 588-9411

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NPI Details

NEIGHBORHOOD HEALTHSOURCE is a federally qualified health center (fqhc) clinic center in Coon Rapids, MN. NEIGHBORHOOD HEALTHSOURCE NPI is 1659323459. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Metro Clinic.

The provider's business location address is:

10081 DOGWOOD ST. NW
SUITE 100
COON RAPIDS, MN
ZIP 55448
Phone: (612) 588-9411
Fax: (763) 783-7944

The provider's authorized official is Steven Jay Knutson .
The authorized official title is Executive Director and has the following contact phone number (612) 287-2428.

The CLIA number assigned to this NPI record is 24D0402086 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/29/2023.

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	208D00000X	General Practice				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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: 3/30/2025

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