MEDICARE: MINNESOTA HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1316800626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINNESOTA HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	4110 FOXGLOVE AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-1615
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 FOXGLOVE AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-1615
Country	:	US
Telephone Number	:	763-377-0836
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GINIKA O OSAKWE
Credential	:	DR.
Telephone Number	:	763-377-0836

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “MINNESOTA HEALTH SERVICES INC ” Practice Location

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