NEIGHBORHOOD HEALTHSOURCE NPI 1811934763

NPI Information

NEIGHBORHOOD HEALTHSOURCE is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. NEIGHBORHOOD HEALTHSOURCE NPI is 1811934763. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Clinic.

The provider's business location address is:

2301 CENTRAL AVE NE
MINNEAPOLIS, MN
ZIP 55418
Phone: (612) 588-9411
Fax: (612) 781-3837

The provider's authorized official is Steve J Knutson .
The authorized official title is Executive Director and has the following contact phone number (612) 588-9411.

The CLIA number assigned to this NPI record is 24D0915517 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/1/2006 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:

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