| Hennepin County | |
|
525 Portland Ave # Mc963 Minneapolis MN 55415-1533 | |
| (612) 348-5553 | |
| Not Available |
| Full Name | Hennepin County |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 Portland Ave # Mc963, Minneapolis, Minnesota |
| Authorized Official Name and Position | Stephanie Abel (AREA MANAGER) |
| Authorized Official Contact | 6123488824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin County 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 | Hennepin County 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 348-5553 |
| NPI Number | 1972685568 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 7911892849 |
|---|---|
| Medicare Enrollment ID | O20181205002698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972685568 | NPI | - | NPPES |
| 166081-D361 | Other | MN | UCARE |
| 735854700 | Medicaid | MN | |
| 69-82979 | Other | MN | EVERCARE |
| 48-00068 | Other | MN | MEDICA |
| 102000000018 | Other | MN | MHP |
| 16Y28HE | Other | MN | BLUE CROSS BLUE SHIELD |
| 35444 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Group Health Plan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Regents Of The University Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-677-3211 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
Fairview Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Ams Healing And Wellness Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Ofc U2-09, Minneapolis, MN 55401 Phone: 320-282-4023 | |
First Class Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 N 2nd St, Minneapolis, MN 55411 Phone: 952-270-5238 |