Organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC ANISHINABE
Active
Organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC ANISHINABE
Active
Parent organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Authorized official
PATRICK ROCK M.D. (CEO)
(612) 721-9800
Entity
Organization
Contact information
Practice address
3100 E 28TH ST, MINNEAPOLIS, MN 55406-1601
(612) 721-9800
(612) 721-7870
Mailing address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9800
(612) 721-7870
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6115875
MN
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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