Organization
NEIGHBORHOOD HEALTHSOURCE
Active
Organization
NEIGHBORHOOD HEALTHSOURCE
Active
Parent organization
NEIGHBORHOOD HEALTHSOURCE
Other names
North Metro Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIGHBORHOOD HEALTHSOURCE
Authorized official
MR. STEVEN JAY KNUTSON (EXECUTIVE DIRECTOR)
(612) 287-2428
Entity
Organization
Contact information
Practice address
10081 DOGWOOD ST. NW, SUITE 100, COON RAPIDS, MN 55448
(612) 588-9411
(763) 783-7944
Mailing address
2301 CENTRAL AVE NE, MINNEAPOLIS, MN 55418
(612) 588-9411
(612) 781-3837
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
06/29/2023
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