NEIGHBORHOOD HEALTHSOURCE (NPI# 1093753782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093753782 |
| Entity Type | Organization |
| Organization Name | NEIGHBORHOOD HEALTHSOURCE |
| Other Organization Name | FREMONT COMMUNITY HEALTH SERVICES, INC |
| Practice Address |
342 13th Ave Ne Minneapolis MN 55413-1265 |
| Practice Telephone | 6123624111 |
| Practice Fax Number | 6123624115 |
| Mailing Telephone | 6123624111 |
| Mailing Fax Number | 6123624115 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | MR. STEVE J KNUTSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6122872428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 591315200 | 05 |
| Other Name | Type Code |
|---|---|
| Fremont Community Health Services, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572763 | Neighborhood Healthsource | Family Medicine | 1015 4th Avenue North, Suite 201, Minneapolis, MN 55405-1178 | 2012-02-09 |
| 1811934763 | Neighborhood Healthsource | General Practice | 2301 Central Ave Ne, Minneapolis, MN 55418 | 2006-06-01 |
| 1386682078 | Neighborhood Healthsource | General Practice | 3300 Fremont Ave N, Minneapolis, MN 55412-2405 | 2006-06-03 |
| Street Address |
342 13TH AVE NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699737866 | Amy Christine Vint | Physician Assistant | 342 13th Ave Ne, Minneapolis, MN 55413-1265 | 2006-04-04 |
| 1194757419 | Robin Jean Bresette | Family Medicine | 342 13th Ave Ne, Minneapolis, MN 55413-1265 | 2006-07-07 |
| 1336180306 | Patti Breen | Nurse Practitioner | 342 13th Ave Ne, Minneapolis, MN 55413-1265 | 2006-06-09 |
| 1700824695 | Jane F Marystone | Preventive Medicine | 342 13th Ave Ne, Minneapolis, MN 55413-1265 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| 1487947248 | Ken Rosenblum | General Practice | 1418 Mount Curve Ave, Minneapolis, MN 55403-1010 | 2011-05-25 |
| 1235469594 | Andrej John Szabad | General Practice | 1615 E River Ter, Minneapolis, MN 55414-3676 | 2010-01-10 |
| 1861725335 | Chs Tennessee Medical, PC | General Practice | 380 Ameriprise Financial Ctr, Minneapolis, MN 55474-0003 | 2009-09-15 |
| 1477721157 | Akbar Sajady | General Practice | 4400 Oliver Avenue North, Minneapolis, MN 55412-1123 | 2008-02-14 |
| 1083734826 | Kenneth Reed Mcmillan | General Practice | 2020 Bloomington Ave, Minneapolis, MN 55404-3073 | 2007-03-29 |
| 1083740393 | Glen Joseph Booth | General Practice | 1089 25th Ave Se, Minneapolis, MN 55414-2637 | 2007-02-23 |
| 1811934763 | Neighborhood Healthsource | General Practice | 2301 Central Ave Ne, Minneapolis, MN 55418 | 2006-06-01 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
Please comment or provide details below to improve the information on NEIGHBORHOOD HEALTHSOURCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.