MEDICARE: HENNEPIN COUNTY

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1528539624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENNEPIN COUNTY

Provider Business Mailing Address
First Line	:	525 PORTLAND AVE # MC963
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1533
Country	:	US
Telephone Number	:	612-348-5553
Fax Number	:	612-677-6299

Provider Business Practice Location Address
First Line	:	740 EAST 17TH STREET
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-1601
Country	:	US
Telephone Number	:	612-348-5553
Fax Number	:	612-677-6299

Authorized Official
Title or Position	:	AREA MANAGER
Name	:	STEPHANIE ABEL
Credential	:
Telephone Number	:	612-348-8824

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/19/2018

Similar Medicare Providers

1053839951 — JIMMIE JONES
Practice Location Address:

740 E 17TH ST
MINNEAPOLIS, MN
55404-1601

Practice Phone: 321-400-7531
Practice Fax:

1043591357 — INDIAN HEALTH BOARD OF MINNEAPOLIS, INC ANISHINABE
Practice Location Address:

3100 E 28TH ST
MINNEAPOLIS, MN
55406-1601

Practice Phone: 612-721-9800
Practice Fax: 612-721-7870

1518815612 — BIRGIT E LARSON M.S.S.W., L.I.S.W.
Practice Location Address:

3100 E 28TH ST
MINNEAPOLIS, MN
55406-1601

Practice Phone: 612-668-5000
Practice Fax: 612-668-5010

1609978840 — DONNA LYNN ELIASON MA, PT
Practice Location Address:

3100 E 28TH ST
MINNEAPOLIS, MN
55406-1601

Practice Phone: 612-668-5000
Practice Fax:

1821127127 — DR. KURT EDWARD WITTE DDS
Practice Location Address:

1601 COMO AVE SE
MINNEAPOLIS, MN
55414-2425

Practice Phone: 612-331-1058
Practice Fax:

1649461732 — FRASER ACADEMY
Practice Location Address:

1601 LAUREL AVE
MINNEAPOLIS, MN
55403-1205

Practice Phone: 612-465-8600
Practice Fax:

Directions to “HENNEPIN COUNTY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.