AMERICAN INDIAN COMMUNITY DEVELOPMENT CORP (NPI# 1194845883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194845883 |
Entity Type | Organization |
Organization Name | AMERICAN INDIAN COMMUNITY DEVELOPMENT CORP |
Practice Address |
1600 East 19th Street Minneapolis MN 55404 |
Mailing Address |
1404 E Franklin Ave Minneapolis MN 55404-2134 |
Practice Telephone | 6128741048 |
Practice Fax Number | 6128131612 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2008-04-08 |
Authorized Official Name | MICHAEL P HAAG (DIRECTOR) |
Authorized Official Telephone | 6128131610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | ORGANIZATION PROVIDER # | 200020115141 | 01 |
Street Address |
1600 EAST 19TH STREET |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
Find all providers in zip 55404 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831329564 | Phoenix Mental Health, P.l.c. | Clinic/Center | 2400 Blaisdell Ave Ste B2, Minneapolis, MN 55404-3394 | 2009-07-15 |
1548340813 | Cedar Riverside People's Center | Clinic/Center | 425 20th Avenue South, Minneapolis, MN 55454-4400 | 2006-10-17 |
1730546672 | Crown Medical Support Services | Clinic/Center | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2016-01-22 |
1467717413 | Multicultural Health Services LLC | Clinic/Center | 2330 Central Ave Ne, Minneapolis, MN 55418-3710 | 2012-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316556434 | Geacom, Inc. | Clinic/Center | 394 S Lake Ave Ste 700, Duluth, MN 55802-2342 | 2020-07-24 |
1497318828 | Housing With Care | Clinic/Center | 8200 Humboldt Ave S Ste 218, Bloomington, MN 55431-1432 | 2019-04-22 |
1396219259 | Kayd Foundation | Clinic/Center | 1821 University Ave W Ste 227, Saint Paul, MN 55104-2895 | 2019-01-14 |
1740798008 | Ace Medical Center, LLC | Clinic/Center | 10259 Englewood Dr, Eden Prairie, MN 55347-4623 | 2018-01-19 |
1770020489 | Centracare Clinic | Clinic/Center | 2001 Stockinger Drive, Suite 101, St Cloud, MN 56303 | 2017-01-20 |
1134574346 | Global International LLC | Clinic/Center | 1305 Larc Industrial Blvd, Burnsville, MN 55337-1411 | 2016-04-26 |
1437524998 | Amni Transportation Inc | Clinic/Center | 200 Nathan Ln N, 261, Plymouth, MN 55441-6461 | 2015-12-09 |
1386951317 | Myhealth for Teens & Young Adults | Clinic/Center | 15 Eighth Ave. S., Hopkins, MN 55343-7667 | 2010-09-13 |
1457356206 | St. Joseph's Area Health Services | Clinic/Center | 1415 1st St E, Park Rapids, MN 56470-1803 | 2005-06-17 |
1821646985 | Minor Medical Squad Pllc | Clinic/Center | 826 Trenton Ln N, Plymouth, MN 55441-4496 | 2019-08-30 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55404 |
Please comment or provide details below to improve the information on AMERICAN INDIAN COMMUNITY DEVELOPMENT CORP.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.