Healthcare Provider Details

I. General information

NPI: 1205145448
Provider Name (Legal Business Name): HENNEPIN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 JAMES AVE N
MINNEAPOLIS MN
55411-3161
US

IV. Provider business mailing address

2220 PLYMOUTH AVE N
MINNEAPOLIS MN
55411-3600
US

V. Phone/Fax

Practice location:
  • Phone: 612-668-1740
  • Fax:
Mailing address:
  • Phone: 612-543-2500
  • Fax: 612-302-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BAYE D DIOUF
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 612-543-2545