Organization
INDIAN HEALTH BOARD OF MINNEAPOLIS
Active
Parent organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Other names
Indian Health Board Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Authorized official
TIA SHAW (HIM/BILLING MANAGER)
(612) 721-9830
Entity
Organization
Contact information
Practice address
2020 MINNEHAHA AVE, MINNEAPOLIS, MN 55404-3104
(612) 721-9800
(612) 721-9870
Mailing address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9881
(612) 721-9870
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6115875
MN
Other
Enumeration date
08/23/2006
Last updated
06/01/2021
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