Organization
HENNEPIN COUNTY
Active
Parent organization
HENNEPIN CONTY
Other names
Health Assessment and Promotion Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENNEPIN CONTY
Authorized official
CURT HAATS (CFO)
(612) 348-9840
Entity
Organization
Contact information
Practice address
525 PORTLAND AVE, MC 952, MINNEAPOLIS, MN 55415-1533
(612) 348-3033
(612) 348-7818
Mailing address
525 PORTLAND AVE, MC 952, MINNEAPOLIS, MN 55415-1533
(612) 348-3033
(612) 348-7818
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101000000018
MHP
MN
01
—
111706-C959
UCARE
MN
01
—
27T77HE
BLUE CROSS BLUE SHIELD
MN
01
—
350825100
MEDICAL ASSISTANCE
MN
01
—
42021
HEALTH PARTNERS
MN
01
—
4800068
MEDICA
MN
Enumeration date
11/20/2006
Last updated
07/21/2022
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