| Indian Health Board Of Minneapolis, Inc Anishinabe | |
|
3100 E 28th St Minneapolis MN 55406-1601 | |
| (612) 721-9800 | |
| (612) 721-7870 |
| Full Name | Indian Health Board Of Minneapolis, Inc Anishinabe |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3100 E 28th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Patrick Rock (CEO) |
| Authorized Official Contact | 6127219800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Health Board Of Minneapolis, Inc Anishinabe 1315 E 24th St Minneapolis MN 55404-3975 Ph: (612) 721-9800 | Indian Health Board Of Minneapolis, Inc Anishinabe 3100 E 28th St Minneapolis MN 55406-1601 Ph: (612) 721-9800 |
| NPI Number | 1043591357 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043591357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6115875 (Minnesota) | Primary |
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