CEDAR RIVERSIDE PEOPLE'S CENTER NPI 1871809152

NPI Information

CEDAR RIVERSIDE PEOPLE'S CENTER is a federally qualified health center (fqhc) clinic center in Minneapolis, MN. CEDAR RIVERSIDE PEOPLE'S CENTER NPI is 1871809152. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As People's Center Dental Clinic.

The provider's business location address is:

3152 MINNEHAHA AVENUE
MINNEAPOLIS, MN
ZIP 55406-934
Phone: (612) 332-4973
Fax: (612) 238-3534

The provider's authorized official is Sahra Noor .
The authorized official title is Ceo and has the following contact phone number (612) 332-4973.

The CLIA number assigned to this NPI record is 24D0403499 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 6/27/2016.

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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