Organization
HENNEPIN COUNTY
Active
Parent organization
HENNEPIN COUNTY
Other names
Red Door Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENNEPIN COUNTY
Authorized official
CURT HAATS (CFO)
(612) 348-9840
Entity
Organization
Contact information
Practice address
525 PORTLAND AVE, MC 951, MINNEAPOLIS, MN 55415-1533
(612) 348-5609
(612) 348-2904
Mailing address
525 PORTLAND AVE, MC 951, MINNEAPOLIS, MN 55415-1533
(612) 348-5609
(612) 348-2904
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103000000018
MHP
MN
01
—
116080-0360
UCARE
MN
01
—
344728600
MEDICAL ASSISTANCE
MN
01
—
45143
HEALTH PARTNERS
MN
01
—
4800068
MEDICA
MN
01
—
9G703RE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/20/2006
Last updated
07/21/2022
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