# AMERICAN INDIAN COMMUNITY DEVELOPMENT CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194845883
- **Authorized official:** MICHAEL P HAAG (DIRECTOR)
- **Authorized official phone:** (612) 813-1610

## Contact information

- **Practice address:** 1600 EAST 19TH STREET, MINNEAPOLIS, MN 55404
- **Practice address phone:** (612) 874-1048
- **Practice address fax:** (612) 813-1612
- **Mailing address:** 1404 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 04/08/2008