<unavail> in Minneapolis, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Minneapolis, Minnesota. The current practice location for is 342 13th Ave Ne, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 588-9411. The mailing address for is 342 13th Ave Ne, Minneapolis, Minnesota and phone number is (612) 588-9411.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093753782. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (612) 588-9411.

Contact Information


	342 13th Ave Ne Minneapolis MN 55413-1265
	(612) 588-9411
	(612) 362-4115

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	342 13th Ave Ne, Minneapolis, Minnesota
Authorized Official Name and Position	Steve J Knutson (EXECUTIVE DIRECTOR)
Authorized Official Contact	6122872428
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
342 13th Ave Ne Minneapolis MN 55413-1265 Ph: (612) 588-9411	342 13th Ave Ne Minneapolis MN 55413-1265 Ph: (612) 588-9411

NPI Details:

NPI Number	1093753782
Provider Enumeration Date	06/03/2006
Last Update Date	06/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	9133199953
Medicare Enrollment ID	O20080218000627

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093753782	NPI	-	NPPES
591315200	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

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- Medicare Primary Care in Minneapolis, MN