| Axis Medical Center | |
|
1801 Nicollet Ave Minneapolis MN 55403-3791 | |
| (612) 823-2947 | |
| (612) 870-2947 |
| Full Name | Axis Medical Center |
|---|---|
| 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 |
|---|---|
| Axis Medical Center 1801 Nicollet Ave Minneapolis MN 55403-3791 Ph: (612) 823-2947 | Axis Medical Center 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 |
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