OrganizationActive
Hennepin County
NPI 1083083752 · Federally Qualified Health Center (FQHC) · Minneapolis, MN
Provider details
- NPI number
- 1083083752
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Hennepin County
- Authorized official
- Baye Diouf, Chief Financial Officer
Practice location
1015 4th Ave N
Suite 201
Minneapolis, MN 55405-1189
Phone: (612) 543-2545
Fax: (612) 302-4870
Mailing address
2220 Plymouth Ave N
Minneapolis, MN 55411-3600
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.