| |
1801 Nicollet Ave Minneapolis MN 55403-3791 | |
(612) 823-2947 | |
(612) 870-2947 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1801 Nicollet Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Stephen Jon Rondestvedt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6129906932 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1801 Nicollet Ave Minneapolis MN 55403-3791 Ph: (612) 823-2947 | 1801 Nicollet Ave Minneapolis MN 55403-3791 Ph: (612) 823-2947 |
NPI Number | 1073833711 |
---|---|
Provider Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073833711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
First Class Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 N 2nd St, Minneapolis, MN 55411 Phone: 952-270-5238 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Fl 2, Minneapolis, MN 55401 Phone: 773-292-4800 Fax: 312-564-4059 |