OrganizationActive
Native American Community Clinic
NPI 1184851115 · Federally Qualified Health Center (FQHC) · Minneapolis, MN
Provider details
- NPI number
- 1184851115
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lydia Caros, Executive Director(612) 872-8086
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1213 E Franklin Ave
Suite 201a
Minneapolis, MN 55404-2923
Phone: (612) 872-8086
Fax: (612) 872-8547
Street-level locationGet directions
Mailing address
1213 E Franklin Ave
Minneapolis, MN 55404-2923
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2009-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.