| Neighborhood Healthsource | |
|
3300 Fremont Ave N Minneapolis MN 55412-2405 | |
| (612) 588-9411 | |
| (612) 522-6627 |
| Full Name | Neighborhood Healthsource |
|---|---|
| Speciality | Clinic/Center |
| Location | 3300 Fremont Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Steve J Knutson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6122872428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Healthsource 3300 Fremont Ave N Minneapolis MN 55412-2405 Ph: (612) 588-9411 | Neighborhood Healthsource 3300 Fremont Ave N Minneapolis MN 55412-2405 Ph: (612) 588-9411 |
| NPI Number | 1386682078 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 9133199953 |
|---|---|
| Medicare Enrollment ID | O20040729000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386682078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Emily E Benzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326075821 PECOS PAC ID: 7618943515 Enrollment ID: I20040902000399 |
| Provider Name | Robin J Bresette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194757419 PECOS PAC ID: 0941254072 Enrollment ID: I20050310000778 |
| Provider Name | Mark M Vint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508835422 PECOS PAC ID: 5597771246 Enrollment ID: I20060303000668 |
| Provider Name | Christina M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205945821 PECOS PAC ID: 1759559388 Enrollment ID: I20110726000143 |
| Provider Name | Erin A Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235589797 PECOS PAC ID: 8820367220 Enrollment ID: I20170628000705 |
| Provider Name | Chelsea Elizabeth Dean Butay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376911347 PECOS PAC ID: 6103159975 Enrollment ID: I20190610002548 |
| Provider Name | Patrice Danielle Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295374171 PECOS PAC ID: 4789010489 Enrollment ID: I20200128001764 |
| Provider Name | Susanna Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598019663 PECOS PAC ID: 9133373285 Enrollment ID: I20210812001878 |
| Provider Name | Amina Adan Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866336 PECOS PAC ID: 8123456720 Enrollment ID: I20220802003551 |
| Provider Name | Kendal Ann Parette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255841573 PECOS PAC ID: 0244651396 Enrollment ID: I20220811000700 |
| Provider Name | Christi A Desautels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497529796 PECOS PAC ID: 5395193304 Enrollment ID: I20231201001745 |
| Provider Name | Brianne Wallgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083486468 PECOS PAC ID: 9830536457 Enrollment ID: I20240319001227 |
| Provider Name | Olive Lewinski Albanese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396487021 PECOS PAC ID: 1951780832 Enrollment ID: I20241025001736 |
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 |