Central Family Clinic | |
3638 Central Ave Ne Minneapolis MN 55418 | |
(612) 345-5534 | |
(612) 886-3929 |
Full Name | Central Family Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3638 Central Ave Ne, Minneapolis, Minnesota |
Authorized Official Name and Position | Theodore James (CEO) |
Authorized Official Contact | 6128232947 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Family Clinic 3638 Central Ave Ne Minneapolis MN 55418 Ph: () - | Central Family Clinic 3638 Central Ave Ne Minneapolis MN 55418 Ph: (612) 345-5534 |
NPI Number | 1396395752 |
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Provider Enumeration Date | 09/18/2019 |
Last Update Date | 02/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396395752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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