CEDAR RIVERSIDE PEOPLE'S CENTER (NPI# 1548340813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548340813 |
Entity Type | Organization |
Organization Name | CEDAR RIVERSIDE PEOPLE'S CENTER |
Practice Address |
425 20th Avenue South Minneapolis MN 55454-4400 |
Practice Telephone | 6123324973 |
Practice Fax Number | 6122383534 |
Mailing Telephone | 6123324973 |
Mailing Fax Number | 6122383534 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2018-02-07 |
Authorized Official Name | RAUL NORIEGA (DIR. OF HIT AND BILLING) |
Authorized Official Telephone | 6123324973 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6075748 | MN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 655853400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780133983 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave S, Minneapolis, MN 55407-2125 | 2016-09-28 |
1700237708 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave, Minneapolis, MN 55407-2125 | 2016-06-30 |
1851695514 | Cedar Riverside People's Center | Family Medicine | 2425 Chicago Avenue, Minneapolis, MN 55404-3845 | 2011-01-10 |
1871809152 | Cedar Riverside People's Center | Dentist | 3152 Minnehaha Avenue, Minneapolis, MN 55406-1934 | 2010-08-25 |
1285952606 | Cedar Riverside People's Center | Clinic/Center | 2219 Chicago Ave, Minneapolis, MN 55404-3842 | 2010-05-10 |
1942759717 | Cedar Riverside People's Center | Clinic/Center | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-09-22 |
1124472402 | Cedar Riverside People's Center | Clinic/Center | 425 20th Ave S, Minneapolis, MN 55454-4400 | 2016-04-22 |
Street Address |
425 20TH AVENUE SOUTH |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-4400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
1841761954 | Hennepin County | Clinic/Center | 3111 First Ave. So., Minneapolis, MN 55408-2055 | 2018-12-16 |
1528539624 | Hennepin County | Clinic/Center | 740 East 17th Street, Minneapolis, MN 55404-1601 | 2018-12-16 |
1700237708 | Cedar Riverside People's Center | Clinic/Center | 3328 Elliot Ave, Minneapolis, MN 55407-2125 | 2016-06-30 |
1083083752 | Hennepin County | Clinic/Center | 1015 4th Ave N, Suite 201, Minneapolis, MN 55405-1189 | 2015-09-23 |
1285952606 | Cedar Riverside People's Center | Clinic/Center | 2219 Chicago Ave, Minneapolis, MN 55404-3842 | 2010-05-10 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55454 |
Please comment or provide details below to improve the information on CEDAR RIVERSIDE PEOPLE'S CENTER.
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.