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
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