Organization
HENNEPIN COUNTY
Active
Parent organization
HENNEPIN COUNTY
Other names
HealthCare for the Homeless
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENNEPIN COUNTY
Authorized official
STEPHANIE ABEL (AREA MANAGER)
(612) 348-8824
Entity
Organization
Contact information
Practice address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102000000018
MHP
MN
01
—
166081-D361
UCARE
MN
01
—
16Y28HE
BLUE CROSS BLUE SHIELD
MN
01
—
35444
HEALTHPARTNERS
MN
01
—
48-00068
MEDICA
MN
01
—
69-82979
EVERCARE
MN
05
—
735854700
—
MN
Enumeration date
10/20/2006
Last updated
01/29/2024
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