Provider Demographics
NPI:1003143785
Name:HENNEPIN COUNTY
Entity Type:Organization
Organization Name:HENNEPIN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HSPHD AREA MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:612-348-4464
Mailing Address - Street 1:HENNEPIN COUNTY GOVERNMENT CTR
Mailing Address - Street 2:300 SOUTH SIXTH STREET
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55487-0999
Mailing Address - Country:US
Mailing Address - Phone:612-348-2896
Mailing Address - Fax:
Practice Address - Street 1:330 S 12TH ST
Practice Address - Street 2:MC635
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1004
Practice Address - Country:US
Practice Address - Phone:612-348-2896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare