| Minnesota Community Care Mbc - Minneapolis | |
|
2606 Chicago Ave Minneapolis MN 55407-3706 | |
| (651) 602-7500 | |
| (651) 602-7580 |
| Full Name | Minnesota Community Care Mbc - Minneapolis |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2606 Chicago Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Eric William Hanson (REV DATA & CREDENTIALING MANAGER) |
| Authorized Official Contact | 6513892560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Community Care Mbc - Minneapolis 153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 602-7500 | Minnesota Community Care Mbc - Minneapolis 2606 Chicago Ave Minneapolis MN 55407-3706 Ph: (651) 602-7500 |
| NPI Number | 1336015304 |
|---|---|
| Provider Enumeration Date | 10/15/2025 |
| Last Update Date | 10/21/2025 |
| Certification Date | 10/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336015304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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