American Indian Community Development Corp

LBN: American Indian Community Development Corp
American Indian Community Development Corp is an health care organization with primary practice located at 1600 East 19Th Street , Minneapolis MN 55404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. American Indian Community Development Corp can be contacted via phone (612) 874-1048, or through Haag, Michael P via phone (612) 813-1610.

Contact Information

Primary practice address
1600 East 19Th Street Minneapolis MN 55404
Phone: (612) 874-1048
Fax: (612) 813-1612
Website:
Map and Directions
Authorized official contact:
Name: Haag, Michael P
Phone: (612) 813-1610

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1194845883
LBN Legal business name American Indian Community Development Corp
DBA Doing business as
Authorized official Haag, Michael P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Apr 8th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194845883 NPPES
Minnesota Other 200020115141 ORGANIZATION PROVIDER #

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