OrganizationActive
Hennepin County
NPI 1962147413 · Federally Qualified Health Center (FQHC) · Minneapolis, MN
Provider details
- NPI number
- 1962147413
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Abel, Area Manager(612) 348-8824
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1009 E 14th St
Minneapolis, MN 55404-1314
Phone: (612) 348-5553
Street-level locationGet directions
Mailing address
525 Portland Ave # Mc963
Minneapolis, MN 55415-1533
Other names (DBA / former)
- Doing business as
- Endeavors
- Doing business as
- Endeavors
Registry dates
- Enumerated
- 2022-04-29
- Last updated
- 2022-05-18
- Certified
- 2022-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.