| Healthcare For The Homeless | |
|
525 Portland Ave # Mc963 Minneapolis MN 55415-1533 | |
| (612) 348-5553 | |
| Not Available |
| Full Name | Healthcare For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 Portland Ave # Mc963, Minneapolis, Minnesota |
| Authorized Official Name and Position | Stephanie Abel (AREA MANAGER) |
| Authorized Official Contact | 6123488824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare For The Homeless 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 | Healthcare For The Homeless 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 |
| NPI Number | 1972685568 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 7911892849 |
|---|---|
| Medicare Enrollment ID | O20181205002698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972685568 | NPI | - | NPPES |
| 166081-D361 | Other | MN | UCARE |
| 735854700 | Medicaid | MN | |
| 69-82979 | Other | MN | EVERCARE |
| 48-00068 | Other | MN | MEDICA |
| 102000000018 | Other | MN | MHP |
| 16Y28HE | Other | MN | BLUE CROSS BLUE SHIELD |
| 35444 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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