CEDAR RIVERSIDE PEOPLE'S CENTER (NPI# 1942759717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942759717 |
| Entity Type | Organization |
| Organization Name | CEDAR RIVERSIDE PEOPLE'S CENTER |
| Other Organization Name | PEOPLE'S CENTER EYE CLINIC |
| Practice Address |
425 20th Ave S Minneapolis MN 55454-4400 |
| Practice Telephone | 6123324973 |
| Practice Fax Number | 6122383534 |
| Mailing Telephone | 6123324973 |
| Mailing Fax Number | 6122383534 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | SAHRA NOOR (CEO) |
| Authorized Official Telephone | 6123324973 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | CEDAR RIVERSIDE PEOPLE'S CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| People's Center Eye 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 |
| 1871809152 | Cedar Riverside People's Center | Dentist | 3152 Minnehaha Avenue, Minneapolis, MN 55406-1934 | 2010-08-25 |
| 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 |
| 1124472402 | Cedar Riverside People's Center | Clinic/Center | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-04-22 |
| Street Address |
425 20TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649256231 | Kay Maust | Family Medicine | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2005-12-16 |
| 1821632118 | Amina Iman | Physician Assistant | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2019-10-30 |
| 1558829838 | Karen Mountainjohnson | Counselor | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2019-03-06 |
| 1558802660 | Barbara Schmitz | Nurse Practitioner | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2017-03-09 |
| 1063867778 | Katherine Howard Kathan | Family Medicine | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-05-01 |
| 1124472402 | Cedar Riverside People's Center | Clinic/Center | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-04-22 |
| 1871954511 | Jennifer Poehland | Social Worker | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-03-08 |
| 1568716009 | Christine Marie Rangen | Advanced Practice Midwife | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2012-11-06 |
| 1568732428 | Amy Santoo | Social Worker | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2012-01-10 |
| 1659648608 | Katherine Anne Schuster Stattmiller | Social Worker | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2011-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| 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 | 55454 |
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.