Organization
CEDAR RIVERSIDE PEOPLE'S CENTER
Active
Parent organization
CEDAR RIVERSIDE PEOPLE'S CENTER
Other names
Wellstone Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR RIVERSIDE PEOPLE'S CENTER
Authorized official
SAHRA NOOR CEO (CEO)
(612) 332-4973
Entity
Organization
Contact information
Practice address
3328 ELLIOT AVE, MINNEAPOLIS, MN 55407-2125
(612) 332-4973
Mailing address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MN
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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