Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Community-University Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
MS. COLLEEN MCDONALD-DIOUF MPH (CEO)
(612) 301-0698
Entity
Organization
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
(612) 627-4205
Mailing address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
(612) 627-4205
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
855553200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855553200
—
MN
Enumeration date
09/29/2006
Last updated
05/09/2017
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