CEDAR RIVERSIDE PEOPLE'S CENTER (NPI# 1871809152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871809152 |
| Entity Type | Organization |
| Organization Name | CEDAR RIVERSIDE PEOPLE'S CENTER |
| Other Organization Name | PEOPLE'S CENTER DENTAL CLINIC |
| Practice Address |
3152 Minnehaha Avenue Minneapolis MN 55406-1934 |
| Mailing Address |
425 20th Avenue South Minneapolis MN 55454-4400 |
| Practice Telephone | 6123324973 |
| Practice Fax Number | 6122383534 |
| Mailing Telephone | 6123324973 |
| Mailing Fax Number | 6122383534 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | MRS. SAHRA NOOR (CEO) |
| Authorized Official Telephone | 6123324973 |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR RIVERSIDE PEOPLE'S CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 877361100 | 05 |
| Other Name | Type Code |
|---|---|
| People's Center Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780133983 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave S, Minneapolis, MN 55407-2125 | 2016-09-28 |
| 1700237708 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave, Minneapolis, MN 55407-2125 | 2016-06-30 |
| 1851695514 | Cedar Riverside People's Center | Family Medicine | 2425 Chicago Avenue, Minneapolis, MN 55404-3845 | 2011-01-10 |
| 1285952606 | Cedar Riverside People's Center | Clinic/Center | 2219 Chicago Ave, Minneapolis, MN 55404-3842 | 2010-05-10 |
| 1548340813 | Cedar Riverside People's Center | Clinic/Center | 425 20th Avenue South, Minneapolis, MN 55454-4400 | 2006-10-17 |
| 1942759717 | Cedar Riverside People's Center | Clinic/Center | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-09-22 |
| 1124472402 | Cedar Riverside People's Center | Clinic/Center | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-04-22 |
| Street Address |
3152 MINNEHAHA AVENUE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
| 1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
| 1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
| 1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
| 1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
| 1841761954 | Hennepin County | Clinic/Center | 3111 First Ave. So., Minneapolis, MN 55408-2055 | 2018-12-16 |
| 1528539624 | Hennepin County | Clinic/Center | 740 East 17th Street, Minneapolis, MN 55404-1601 | 2018-12-16 |
| 1700237708 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave, Minneapolis, MN 55407-2125 | 2016-06-30 |
| 1083083752 | Hennepin County | Clinic/Center | 1015 4th Ave N, Suite 201, Minneapolis, MN 55405-1189 | 2015-09-23 |
| 1285952606 | Cedar Riverside People's Center | Clinic/Center | 2219 Chicago Ave, Minneapolis, MN 55404-3842 | 2010-05-10 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
Please comment or provide details below to improve the information on CEDAR RIVERSIDE PEOPLE'S CENTER.
| 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.