Organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Active
Organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Active
Parent organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Other names
IHB Minnehaha
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Authorized official
PATRICK ROCK MD (CEO)
(612) 721-9800
Entity
Organization
Contact information
Practice address
2101 MINNEHAHA AVENUE SOUTH, MINNEAPOLIS, MN 55404-3107
(612) 721-9800
(612) 721-7870
Mailing address
1315 E 24TH ST STE 1, MINNEAPOLIS, MN 55404-3959
(612) 721-9830
(612) 721-7870
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811999162
—
MN
Enumeration date
02/22/2019
Last updated
05/27/2021
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