institution
American Indian Community Development Corp
Community Health Clinic/Center in Minneapolis, Minnesota
NPI 1194845883

American Indian Community Development Corp is a Community Health Clinic/Center based in Minneapolis, MN and is specialized in Community Health. American Indian Community Development Corp practices in Minneapolis, MN. The NPI Number for American Indian Community Development Corp is 1194845883 and holds a License No. (Minnesota).

The current practice location address for American Indian Community Development Corp is 1600 East 19Th Street, Minneapolis, MN and can be reached out via phone at 612-874-1048 and via fax at 612-813-1612.

Location: 1600 East 19Th Street, Minneapolis, MN, 55404-2134
institution
Provider Profile Details
NPI Number
1194845883
Provider Name
American Indian Community Development Corp
Credential
Provider Entity Type
Organization
Address
1600 East 19Th Street, Minneapolis, MN, 55404-2134
Phone Number
612-874-1048
Fax Number
612-813-1612
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200020115141 01 MN ORGANIZATION PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1600 East 19Th Street
City
State
Zip
55404
Phone Number
612-874-1048
Fax Number
612-813-1612
person
Provider Business Mailing Address Details
Address
1600 East 19Th Street
City
State
Zip
55404
Phone Number
612-874-1048
Fax Number
612-813-1612
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
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