Organization
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC
Active
Other names
Indian Health Board of Minneapolis, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ROCK M.D. (CEO)
(612) 721-9881
Entity
Organization
Contact information
Practice address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9800
(612) 721-7870
Mailing address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9800
(612) 721-7870
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6115875
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125028100
—
MN
05
—
138488100
—
MN
05
—
206817600
—
MN
05
—
634930700
—
MN
05
—
730320300
—
MN
05
—
781137300
—
MN
05
—
844522200
—
MN
05
—
916817600
—
MN
05
—
934633300
—
MN
05
—
942317600
—
MN
05
—
946883800
—
MN
05
—
996488600
—
MN
Enumeration date
06/01/2005
Last updated
01/19/2011
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