Organization
NEIGHBORHOOD HEALTHSOURCE
Active
Organization
NEIGHBORHOOD HEALTHSOURCE
Active
Other names
Fremont Community Health Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE J KNUTSON (EXECUTIVE DIRECTOR)
(612) 287-2428
Entity
Organization
Contact information
Practice address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(612) 588-9411
(612) 362-4115
Mailing address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(612) 588-9411
(612) 362-4115
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591315200
—
MN
Enumeration date
06/03/2006
Last updated
06/29/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up