MEDICARE: CEDAR RIVERSIDE PEOPLE'S CENTER

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	1223G0001X	General Practice Dentistry
2	261QF0400X	Federally Qualified Health Center (FQHC)		MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871809152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR RIVERSIDE PEOPLE'S CENTER

Provider Business Mailing Address
First Line	:	425 20TH AVENUE SOUTH
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-4400
Country	:	US
Telephone Number	:	612-332-4973
Fax Number	:	612-238-3534

Provider Business Practice Location Address
First Line	:	3152 MINNEHAHA AVENUE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1934
Country	:	US
Telephone Number	:	612-332-4973
Fax Number	:	612-238-3534

Authorized Official
Title or Position	:	CEO
Name	:	MRS. SAHRA NOOR
Credential	:
Telephone Number	:	612-332-4973

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	06/27/2016

Similar Medicare Providers

1124483656 — TANU DHOOPAR ADT
Practice Location Address:

3152 MINNEHAHA AVE
MINNEAPOLIS, MN
55406-1934

Practice Phone: 612-332-4973
Practice Fax:

1952420648 — ARIANA MERIEL HART MSW
Practice Location Address:

1934 HENNEPIN AVE STE 300
MINNEAPOLIS, MN
55403-4035

Practice Phone: 952-737-4566
Practice Fax:

1306137617 — APS PAYROLL SERVICE INC
Practice Location Address:

5837 HYLAND COURTS DRIVE , #200
MINNEAPOLIS, MN
55437-1934

Practice Phone: 952-835-9580
Practice Fax: 952-835-9576

1386028355 — MOLLIE GABRYS-LAKE
Practice Location Address:

1934 HENNEPIN AVE STE 201
MINNEAPOLIS, MN
55403-4035

Practice Phone: 605-212-2542
Practice Fax:

1922450063 — KELSEY DRESSEL LICSW
Practice Location Address:

1934 HENNEPIN AVE
MINNEAPOLIS, MN
55403-4034

Practice Phone: 952-826-8378
Practice Fax:

1083152250 — ALISA CLARE COHEN LICSW, LADC
Practice Location Address:

1934 HENNEPIN AVE STE 300
MINNEAPOLIS, MN
55403-4035

Practice Phone: 952-737-4566
Practice Fax:

Directions to “CEDAR RIVERSIDE PEOPLE'S CENTER ” 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.