Healthcare Provider Details

I. General information

NPI: 1891972303
Provider Name (Legal Business Name): MINNEAPOLIS AMERICAN INDIAN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 E FRANKLIN AVE
MINNEAPOLIS MN
55404-2136
US

IV. Provider business mailing address

1530 E FRANKLIN AVE
MINNEAPOLIS MN
55404-2136
US

V. Phone/Fax

Practice location:
  • Phone: 612-879-1700
  • Fax:
Mailing address:
  • Phone: 612-879-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. FRANCES FAIRBANKS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 612-879-1704