Indian Health Board Dental

LBN: Indian Health Board Of Minneapolis
Indian Health Board Dental is an health care organization with primary practice located at 2020 Minnehaha Ave , Minneapolis MN 55404-3104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Indian Health Board Of Minneapolis can be contacted via phone (612) 721-9800, or through Shaw, Tia via phone (612) 721-9830.

Contact Information

Primary practice address
2020 Minnehaha Ave Minneapolis MN 55404-3104
Fax: (612) 721-9870
Website:
Authorized official contact:
Name: Shaw, Tia

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6115875 Minnesota

Profile Details

NPI number 1578670188
LBN Legal business name Indian Health Board Of Minneapolis
DBA Doing business as Indian Health Board Dental
Authorized official Shaw, Tia
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Jun 1st, 2021 - about 3 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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