Indian Health Board Of Minneapolis, Inc

LBN: Indian Health Board Of Minneapolis, Inc
Indian Health Board Of Minneapolis, Inc is an health care organization with primary practice located at 1315 E 24Th St , Minneapolis MN 55404-3975. 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, Inc can be contacted via phone (612) 721-9800, or through Rock, Patrick via phone (612) 721-9881.

Contact Information

Primary practice address
1315 E 24Th St Minneapolis MN 55404-3975
Fax: (612) 721-7870
Website:
Authorized official contact:
Name: Rock, Patrick Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1811999162
LBN Legal business name Indian Health Board Of Minneapolis, Inc
DBA Doing business as Indian Health Board Of Minneapolis, Inc
Authorized official Rock, Patrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 19th, 2011 - about 14 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 1811999162 NPPES
Minnesota MEDICAID 844522200
Minnesota MEDICAID 916817600
Minnesota MEDICAID 946883800
Minnesota MEDICAID 634930700
Minnesota MEDICAID 730320300
Minnesota MEDICAID 781137300
Minnesota MEDICAID 138488100
Minnesota MEDICAID 934633300
Minnesota MEDICAID 125028100
Minnesota MEDICAID 206817600
Minnesota MEDICAID 996488600
Minnesota MEDICAID 942317600

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