OrganizationActive
Indian Health Board of Minneapolis
NPI 1578670188 · Federally Qualified Health Center (FQHC) · Minneapolis, MN
Provider details
- NPI number
- 1578670188
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Indian Health Board of Minneapolis, Inc
- Organization subpart
- Yes
- Authorized official
- Tia Shaw, Him/Billing Manager(612) 721-9830
- License
- 6115875 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2020 Minnehaha Ave
Minneapolis, MN 55404-3104
Phone: (612) 721-9800
Fax: (612) 721-9870
Street-level locationGet directions
Mailing address
1315 E 24th St
Minneapolis, MN 55404-3975
Other names (DBA / former)
- Doing business as
- Indian Health Board Dental
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.