Fremont Community Health Services, Inc
LBN: Neighborhood Healthsource
Fremont Community Health Services, Inc is an health care organization with primary practice located at 342 13Th Ave Ne , Minneapolis MN 55413-1265. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Neighborhood Healthsource can be contacted via phone (612) 588-9411, or through Knutson, Steve J via phone (612) 287-2428.
Contact Information
Primary practice address
342 13Th Ave Ne
Minneapolis MN 55413-1265
Phone: (612) 588-9411
Fax: (612) 362-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1093753782 |
|---|---|
| LBN Legal business name | Neighborhood Healthsource |
| DBA Doing business as | Fremont Community Health Services, Inc |
| Authorized official | Knutson, Steve J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093753782 | NPPES |
| Minnesota | MEDICAID | 591315200 |
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