Organization
HENNEPIN HEALTHCARE SYSTEMS, INC.
Active
Organization
HENNEPIN HEALTHCARE SYSTEMS, INC.
Active
Other names
HCMC Psychiatry Crisis Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK HOLLINGS (CHIEF FINANCIAL OFFICER)
(612) 873-5340
Entity
Organization
Contact information
Practice address
3633 CHICAGO AVE, SOUTH, MINNEAPOLIS, MN 55407-2603
(612) 873-3000
Mailing address
701 PARK AVE, P1-REIMBURSEMENT, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407897309
HENNEPIN COUNTY MEDICAL CENTER'S NPI
MN
Enumeration date
10/27/2016
Last updated
10/27/2016
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