Hennepin County | |
800 W Broadway Ave Minneapolis MN 55411-2614 | |
(612) 543-2900 | |
(612) 288-2909 |
Full Name | Hennepin County |
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Speciality | Clinic/Center |
Location | 800 W Broadway Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Baye D Diouf (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6125432545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hennepin County 1256 Penn Ave N Ste 5100 Minneapolis MN 55411-2617 Ph: (612) 543-2500 | Hennepin County 800 W Broadway Ave Minneapolis MN 55411-2614 Ph: (612) 543-2900 |
NPI Number | 1154774925 |
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Provider Enumeration Date | 07/18/2016 |
Last Update Date | 09/24/2024 |
Medicare PECOS PAC ID | 7911892849 |
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Medicare Enrollment ID | O20160824001402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154774925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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