INDIAN HEALTH BOARD OF MINNEAPOLIS INC NPI 1811999162

NPI Information

INDIAN HEALTH BOARD OF MINNEAPOLIS, INC is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. INDIAN HEALTH BOARD OF MINNEAPOLIS, INC NPI is 1811999162. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Health Board Of Minneapolis, Inc.

The provider's business location address is:

1315 E 24TH ST
MINNEAPOLIS, MN
ZIP 55404-975
Phone: (612) 721-9800
Fax: (612) 721-7870

The provider's authorized official is Patrick Rock .
The authorized official title is Ceo and has the following contact phone number (612) 721-9881.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 1/19/2011.

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:

Other Identifiers

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

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