American Indian Community Development Corp | |
1600 East 19th Street Minneapolis MN 55404 | |
(612) 874-1048 | |
(612) 813-1612 |
Full Name | American Indian Community Development Corp |
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Speciality | Clinic/center - Community Health |
Location | 1600 East 19th Street, Minneapolis, Minnesota |
Authorized Official Name and Position | Michael P Haag (DIRECTOR) |
Authorized Official Contact | 6128131610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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American Indian Community Development Corp 1404 E Franklin Ave Minneapolis MN 55404-2134 Ph: () - | American Indian Community Development Corp 1600 East 19th Street Minneapolis MN 55404 Ph: (612) 874-1048 |
NPI Number | 1194845883 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194845883 | NPI | - | NPPES |
200020115141 | Other | MN | ORGANIZATION PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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