| Hennepin County Medical Center | |
|
300 S 6th St Government Center-a 120 Minneapolis MN 55487-0070 | |
| (612) 348-4628 | |
| (612) 596-9984 |
| Full Name | Hennepin County Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 300 S 6th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Derrick Hollings (C.F.O) |
| Authorized Official Contact | 6128735340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin County Medical Center 701 Park Ave P1-finance Minneapolis MN 55415-1623 Ph: (612) 873-3000 | Hennepin County Medical Center 300 S 6th St Government Center-a 120 Minneapolis MN 55487-0070 Ph: (612) 348-4628 |
| NPI Number | 1528361573 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528361573 | NPI | - | NPPES |
| 157245800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 367142 (Minnesota) | Primary |
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