OrganizationActive
Hennepin County
NPI 1295812386 · Public Health or Welfare Agency · Minneapolis, MN
Provider details
- NPI number
- 1295812386
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Parent organization
- Hennepin County
- Organization subpart
- Yes
- Authorized official
- Bao Vang, Finance Manager(612) 596-7973
- License
- 00-802-6655 (MN)
Specialties & taxonomies
Agencies
Practice location
525 Portland Ave
Level #4 Mc952
Minneapolis, MN 55415-1533
Phone: (612) 543-5555
Fax: (612) 596-7900
Approximate (ZIP-level) locationGet directions
Mailing address
525 Portland Ave
Minneapolis, MN 55415-1533
Other names (DBA / former)
- Doing business as
- Public Health Clinic
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.