| City Of Minneapolis | |
| 
					3131 19th Avenue South Room 122 Minneapolis MN 55409  | |
| (612) 668-4333 | |
| Not Available | 
| Full Name | City Of Minneapolis | 
|---|---|
| Speciality | Clinic/center - Student Health | 
| Location | 3131 19th Avenue South, Minneapolis, Minnesota | 
| Authorized Official Name and Position | Barbara Ann Kyle (SBC MANAGER) | 
| Authorized Official Contact | 6126735305 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| City Of Minneapolis 505 4th Ave S Rm 520 Minneapolis MN 55415-1345 Ph: (612) 673-2301  | City Of Minneapolis 3131 19th Avenue South Room 122 Minneapolis MN 55409 Ph: (612) 668-4333  | 
| NPI Number | 1598817678 | 
|---|---|
| Provider Enumeration Date | 01/17/2007 | 
| Last Update Date | 11/18/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598817678 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary | 
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary | 
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