Neighborhood Healthsource
NPI #1659323459 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1659323459
- Entity Type
- Organization
- Organization Name
- Neighborhood Healthsource
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEIGHBORHOOD HEALTHSOURCE
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 17, 2006
- Last Updated
- Jun 29, 2023
Practice Location
- Address
- 10081 DOGWOOD ST. NW
- Address 2
- SUITE 100
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55448
- Phone
- (612) 588-9411
Authorized Official
- Name
- MR. STEVEN JAY KNUTSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (612) 287-2428
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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